ITAV-NURSE PRACTITIONER FAMILY HEALTH PLLC

AMITYVILLE, NY
NPI1588205025
Entity TypeOrganization
Authorized ContactTIA KNIGHT-FORBES
Owner
631-926-3025
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2019-10-07
Last Update Date2021-02-18
Business Address
ITAV-NURSE PRACTITIONER FAMILY HEALTH PLLC
455 ALBANY AVE UNIT C
AMITYVILLE, NY 11701-1193
Phone number: 631-926-3025
Mailing Address
ITAV-NURSE PRACTITIONER FAMILY HEALTH PLLC
455 ALBANY AVE UNIT C
AMITYVILLE, NY 11701-1193
Phone number: 631-926-3025