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1497591507
PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
RIVERHEAD, NY
NPI
1497591507
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Entity Type
Organization
Authorized Contact
JENNIFER A MEYER
Nurse Practicioner
631-548-6063
Organization Subpart ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
1 HEROES WAY
RIVERHEAD, NY 11901-2054
Phone number: 631-548-6063
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Mailing Address
PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
1 HEROES WAY
RIVERHEAD, NY 11901-2054
Phone number: 631-548-6063
Copy
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