LAURA JEAN HETTRICH

STONY BROOK, NY
NPI1659486710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F303030-1)
Enumeration Date2006-08-20
Last Update Date2016-12-12
Business Address
-- LAURA JEAN HETTRICH NP
STONY BROOK HOSPITAL HSC T19 020
STONY BROOK, NY 11794-8191
Phone number: 631-444-0650
Mailing Address
-- LAURA JEAN HETTRICH NP
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-0650
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