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Ebc Health
Family Nurse Practitioner in Massapequa Park, New York
NPI 1639336589

Ebc Health is a Family Nurse Practitioner based in Massapequa Park, NY and is specialized in Family. Ebc Health practices in Massapequa Park, NY. The NPI Number for Ebc Health is 1639336589 and holds a License No. F334247 (New York).

The current practice location address for Ebc Health is 135 Park Blvd, Massapequa Park, NY and can be reached out via phone at 516-524-0665.

Location: 135 Park Blvd, Massapequa Park, NY, 11762-1513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639336589
Provider Name
Ebc Health
Credential
Provider Entity Type
Organization
Address
135 Park Blvd, Massapequa Park, NY, 11762-1513
Phone Number
516-524-0665
Fax Number
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02523857 05 NY
0472G1 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
135 Park Blvd
City
Massapequa Park
State
New York
Zip
11762-3643
Phone Number
516-524-0665
Fax Number
person
Provider Business Mailing Address Details
Address
135 Park Blvd
City
Massapequa Park
State
New York
Zip
11762-3643
Phone Number
516-524-0665
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F334247 (New York)
Definition
Definition to come...
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