HEALTH-BASED PRIMARY CARE

PORT JEFFERSON, NY
NPI1992545214
Entity TypeOrganization
Authorized ContactSHEREDA LAWRENCE
Nurse Practitioner
917-326-1701
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2024-05-27
Last Update Date2024-11-12
Business Address
HEALTH-BASED PRIMARY CARE
11 GLADYSZ WAY
PORT JEFFERSON, NY 11777-2263
Phone number: 917-326-1701
Mailing Address
HEALTH-BASED PRIMARY CARE
11 GLADYSZ WAY
PORT JEFFERSON, NY 11777-2263
Phone number:
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