institution
Nurse Practitioner Infant And Child Healthcare, Pc
Psychiatric/Mental Health Nurse Practitioner in Port Jefferson, New York
NPI 1568958700

Nurse Practitioner Infant And Child Healthcare, Pc is a Psychiatric/Mental Health Nurse Practitioner based in Miller Place, NY and is specialized in Psychiatric/Mental Health. Nurse Practitioner Infant And Child Healthcare, Pc practices in Port Jefferson, NY. The NPI Number for Nurse Practitioner Infant And Child Healthcare, Pc is 1568958700 and holds a License No. 380749 (New York).

The current practice location address for Nurse Practitioner Infant And Child Healthcare, Pc is 1227 Main Street, Port Jefferson, NY and can be reached out via phone at 631-235-2401 and via fax at 631-689-3993.

Location: 1227 Main Street, Port Jefferson, NY, 11764
institution
Provider Profile Details
NPI Number
1568958700
Provider Name
Nurse Practitioner Infant And Child Healthcare, Pc
Credential
Provider Entity Type
Organization
Address
1227 Main Street, Port Jefferson, NY, 11764
Phone Number
631-235-2401
Fax Number
631-689-3993
Provider Enumeration Date
07/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1227 Main Street
City
State
Zip
11777
Phone Number
631-235-2401
Fax Number
631-689-3993
person
Provider Business Mailing Address Details
Address
1227 Main Street
City
State
Zip
11777
Phone Number
631-235-2401
Fax Number
631-689-3993
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F-400866-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
380749 (New York)
Definition
Definition to come...
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