PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO

RIVERHEAD, NY
NPI1497591507
Entity TypeOrganization
Authorized ContactJENNIFER A MEYER
Nurse Practicioner
631-548-6063
Organization Subpart ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
Enumeration Date2024-07-08
Last Update Date2024-07-08
Business Address
PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
1 HEROES WAY
RIVERHEAD, NY 11901-2054
Phone number: 631-548-6063
Mailing Address
PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
1 HEROES WAY
RIVERHEAD, NY 11901-2054
Phone number: 631-548-6063