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Allan D Memoracion, NP
Adult Health Nurse Practitioner in Bay Shore, New York
NPI 1770038390

Allan D Memoracion is an Adult Health Nurse Practitioner based in Bay Shore, NY and is specialized in Adult Health. Allan D Memoracion practices in Bay Shore, NY and has the professional credentials of NP. The NPI Number for Allan D Memoracion is 1770038390 and holds a License No. 307954 (New York).

The current practice location address for Allan D Memoracion is 280 E Main St, Bay Shore, NY and can be reached out via phone at 631-591-7400.

Location: 280 E Main St, Bay Shore, NY, 11706-8403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770038390
Provider Name
Allan D Memoracion
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
280 E Main St, Bay Shore, NY, 11706-8403
Phone Number
631-591-7400
Fax Number
Provider Enumeration Date
08/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
280 E Main St
City
Bay Shore
State
New York
Zip
11706-8403
Phone Number
631-591-7400
Fax Number
person
Provider Business Mailing Address Details
Address
280 E Main St
City
Bay Shore
State
New York
Zip
11706-8403
Phone Number
631-591-7400
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.
307954 (New York)
Definition
Definition to come...
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