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1154630549
ELIZABETH M SHORTELL
STONY BROOK, NY
NPI
1154630549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 7233900)
Enumeration Date
2010-10-02
Last Update Date
2010-10-02
Business Address
-- ELIZABETH M SHORTELL Nurse Practitioner
101 NICOLLS RD HSC-T17 ROOM 040/DIVISION OD PULMONARY MEDICINE
STONY BROOK, NY 11794-8172
Phone number: 631-444-7786
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Mailing Address
-- ELIZABETH M SHORTELL Nurse Practitioner
101 NICOLLS RD
STONY BROOK, NY 11794-8500
Phone number: 631-444-1512
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