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Stephen Andrew Pentheros, NP
Licensed Practical Nurse in Riverhead, New York
NPI 1578840393

Stephen Andrew Pentheros is a Licensed Practical Nurse based in Port Jefferson Station, NY. Stephen Andrew Pentheros practices in Riverhead, NY and has the professional credentials of NP. The NPI Number for Stephen Andrew Pentheros is 1578840393 and holds a License No. 310357 (New York).

The current practice location address for Stephen Andrew Pentheros is 750 Old Country Rd Bldg 2, Riverhead, NY and can be reached out via phone at 631-751-3000 and via fax at 631-751-0506.

Location: 750 Old Country Rd Bldg 2, Riverhead, NY, 11776-8055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578840393
Provider Name
Stephen Andrew Pentheros
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
750 Old Country Rd Bldg 2, Riverhead, NY, 11776-8055
Phone Number
631-751-3000
Fax Number
631-751-0506
Provider Enumeration Date
11/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 Old Country Rd Bldg 2
City
Riverhead
State
New York
Zip
11901-2153
Phone Number
631-751-3000
Fax Number
631-751-0506
person
Provider Business Mailing Address Details
Address
750 Old Country Rd Bldg 2
City
Riverhead
State
New York
Zip
11901-2153
Phone Number
631-751-3000
Fax Number
631-751-0506
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
306726-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
310357 (New York)
Definition
Definition to come...
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