SUSAN PHELAN

PORT JEFFERSON, NY
NPI1487711636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F4001481)
Enumeration Date2007-01-03
Last Update Date2010-06-23
Business Address
-- SUSAN PHELAN Ph D NP
640 BELLE TERRE RD SUITE J2-3
PORT JEFFERSON, NY 11777-1936
Phone number: 631-928-3184
Mailing Address
-- SUSAN PHELAN Ph D NP
640 BELLE TERRE RD SUITE J2-3
PORT JEFFERSON, NY 11777-1936
Phone number: 631-928-3184