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Recover Undercover Llc
Psychiatric/Mental Health Nurse Practitioner in Central Islip, New York
NPI 1730956293

Recover Undercover Llc is a Psychiatric/Mental Health Nurse Practitioner based in Central Islip, NY and is specialized in Psychiatric/Mental Health. Recover Undercover Llc practices in Central Islip, NY. The NPI Number for Recover Undercover Llc is 1730956293 and holds a License No. (New York).

The current practice location address for Recover Undercover Llc is 39 Wheeler Rd, Central Islip, NY and can be reached out via phone at 631-546-8849.

Location: 39 Wheeler Rd, Central Islip, NY, 11722-2122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730956293
Provider Name
Recover Undercover Llc
Credential
Provider Entity Type
Organization
Address
39 Wheeler Rd, Central Islip, NY, 11722-2122
Phone Number
631-546-8849
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
39 Wheeler Rd
City
Central Islip
State
New York
Zip
11722-2122
Phone Number
631-546-8849
Fax Number
person
Provider Business Mailing Address Details
Address
39 Wheeler Rd
City
Central Islip
State
New York
Zip
11722-2122
Phone Number
631-546-8849
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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