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1053438952
JOAN L NATHAN
PORT JEFFERSON, NY
NPI
1053438952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 302124)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- JOAN L NATHAN A.N.P.
120 N COUNTRY RD
PORT JEFFERSON, NY 11777-2604
Phone number: 631-928-4586
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Mailing Address
-- JOAN L NATHAN A.N.P.
2200 RACE AVE
MEDFORD, NY 11763-1818
Phone number: 631-730-6024
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