Sc Family Health NP PLLC
Nurse Practitioner, Family in Holbrook, NY. Organization (NPI-2).
NPI number1992561708
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1992561708
- Entity type
- Organization (NPI-2)
- Legal business name
- Sc Family Health NP PLLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
8 Avenue AHolbrook, NY 11741-2008
Phone 631-903-3567
Mailing address
8 Avenue AHolbrook, NY 11741-2008
Phone 631-903-3567
Other practice locations
18 Weeks St
Blue Point, NY 11715-1513
Blue Point, NY 11715-1513
Phone 631-903-3567
Authorized official
Steven Clarke
Principle
6319033567
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