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1134475189
NANCY C DEACON
MELVILLE, NY
NPI
1134475189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 401496)
Enumeration Date
2012-07-27
Last Update Date
2015-06-25
Business Address
-- NANCY C DEACON N.P.
150 BROADHOLLOW ROAD SUITE 310
MELVILLE, NY 11747
Phone number: 631-636-7050
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Mailing Address
-- NANCY C DEACON N.P.
80 SALEM RIDGE DR
HUNTINGTON, NY 11743
Phone number: 631-636-7050
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