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Desiree Bollerup, AGPCNP
Adult Health Nurse Practitioner in Greenlawn, New York
NPI 1669250098

Desiree Bollerup is an Adult Health Nurse Practitioner based in Greenlawn, NY and is specialized in Adult Health. Desiree Bollerup practices in Greenlawn, NY and has the professional credentials of AGPCNP. The NPI Number for Desiree Bollerup is 1669250098 and holds a License No. F311371-01 (New York).

The current practice location address for Desiree Bollerup is 284 Pulaski Rd, Greenlawn, NY and can be reached out via phone at 631-425-5250.

Location: 284 Pulaski Rd, Greenlawn, NY, 11740-1602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669250098
Provider Name
Desiree Bollerup
Credential
AGPCNP
Provider Entity Type
Individual
Gender
Female
Address
284 Pulaski Rd, Greenlawn, NY, 11740-1602
Phone Number
631-425-5250
Fax Number
Provider Enumeration Date
09/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
284 Pulaski Rd
City
Greenlawn
State
New York
Zip
11740-1602
Phone Number
631-425-5250
Fax Number
person
Provider Business Mailing Address Details
Address
284 Pulaski Rd
City
Greenlawn
State
New York
Zip
11740-1602
Phone Number
631-425-5250
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F311371-01 (New York)
Definition
Definition to come...
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