House Calls Nurse Practitioner In Gerontology

NPI 1467750075 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1467750075
Enumeration Date 03/06/2011
Last Updated 03/06/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CAROLINE ROSE CAROLINE
Position DIRECTOR
Phone (631) 678-8230
Fax (631) 751-8965
Practice Location
113 MAIN ST
SETAUKET NY, 11733-2808, US
Phone (631) 678-8230
Fax (631) 751-8965
Business Location
113 MAIN ST
SETAUKET NY, 11733-2808, US
Phone (631) 678-8230
Fax (631) 751-8965
Toxanomy
Taxonomy Code 363LG0600X
License State New York
License Number 340207
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According to our database, House Calls Nurse Practitioner In Gerontology NPI is 1467750075, taxonomy code is 363LG0600X and license number is 340207, license state is located at New York. House Calls Nurse Practitioner In Gerontology physically located at 113 Main St, Setauket NY, 11733-2808. NPI Number 1033115704 has the healthcare provider type.

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1467750075 NPI number is provided on an as is basis without warranty of any kind. 1467750075 is maintained by the National Plan & Provider Enumeration System. The contents of House Calls Nurse Practitioner In Gerontology are for informational purposes only.