Adult Healthcare NP PLLC
Nurse Practitioner, Adult Health in Lynbrook, NY. Organization (NPI-2).
NPI number1669903100
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1669903100
- Entity type
- Organization (NPI-2)
- Legal business name
- Adult Healthcare NP PLLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2017
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 307783 | NY | Yes |
Practice location
275 BroadwayLynbrook, NY 11563-3243
Phone 516-515-0597 · Fax 516-837-9847
Mailing address
339 Hempstead AvePo Box 328
Malverne, NY 11565
Phone 516-515-0597 · Fax 516-837-9847
Authorized official
Carletta Stackhouse
Ceo
5165150597
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All 9 Adult Health Nurse Practitioner providers in Lynbrook · All 891 providers in Lynbrook
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