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East End Geriatric & Adult Medicine Pllc
Nurse Practitioner in Southold, New York
NPI 1851367304

East End Geriatric & Adult Medicine Pllc is a Nurse Practitioner based in Southold, NY. East End Geriatric & Adult Medicine Pllc practices in Southold, NY. The NPI Number for East End Geriatric & Adult Medicine Pllc is 1851367304 and holds a License No. (New York).

The current practice location address for East End Geriatric & Adult Medicine Pllc is 50 Ackerly Pond Lane, Southold, NY and can be reached out via phone at 631-765-1414 and via fax at 631-765-1428.

Location: 50 Ackerly Pond Lane, Southold, NY, 11971-0938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851367304
Provider Name
East End Geriatric & Adult Medicine Pllc
Credential
Provider Entity Type
Organization
Address
50 Ackerly Pond Lane, Southold, NY, 11971-0938
Phone Number
631-765-1414
Fax Number
631-765-1428
Provider Enumeration Date
02/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD8034 01 NY RAIL ROAD MEDICARE
02632497 05 NY
institution
Provider Business Practice Location Address Details
Address
50 Ackerly Pond Lane
City
Southold
State
New York
Zip
11971-3005
Phone Number
631-765-1414
Fax Number
631-765-1428
person
Provider Business Mailing Address Details
Address
50 Ackerly Pond Lane
City
Southold
State
New York
Zip
11971-3005
Phone Number
631-765-1414
Fax Number
631-765-1428
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
()
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
23013867 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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