Pjs Professional Nurse Practitioner In Adult Health Pllc

NPI 1265863245 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1265863245
Enumeration Date 12/02/2013
Last Updated 12/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LUIS J LUIS
Position OWNER
Phone (631) 790-1239
Fax
Practice Location
22 MISSISSIPPI AVE
PORT JEFFERSON STATION NY, 11776-3012, US
Phone (631) 790-1239
Fax
Business Location
22 MISSISSIPPI AVE
PORT JEFFERSON STATION NY, 11776-3012, US
Phone (631) 790-1239
Fax
Toxanomy
Taxonomy Code 314000000X
License State New York
License Number 304949
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According to our database, Pjs Professional Nurse Practitioner In Adult Health Pllc NPI is 1265863245, taxonomy code is 314000000X and license number is 304949, license state is located at New York. Pjs Professional Nurse Practitioner In Adult Health Pllc physically located at 22 Mississippi Ave, Port Jefferson Station NY, 11776-3012. NPI Number 1033115704 has the healthcare provider type.

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1265863245 NPI number is provided on an as is basis without warranty of any kind. 1265863245 is maintained by the National Plan & Provider Enumeration System. The contents of Pjs Professional Nurse Practitioner In Adult Health Pllc are for informational purposes only.