NANCY C DEACON

MELVILLE, NY
NPI1134475189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  401496)
Enumeration Date2012-07-27
Last Update Date2015-06-25
Business Address
-- NANCY C DEACON N.P.
150 BROADHOLLOW ROAD SUITE 310
MELVILLE, NY 11747
Phone number: 631-636-7050
Mailing Address
-- NANCY C DEACON N.P.
80 SALEM RIDGE DR
HUNTINGTON, NY 11743
Phone number: 631-636-7050