Organization · Type 2 NPI
Telehealth Adult Health Nurse Practitioner
Primary Care Clinic/Center · Freeport, NY
NPI number
1043023419
Active
Practice location
432 N Brookside Ave
Freeport, NY 11520-1045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Freeport
About NPI 1043023419
Telehealth Adult Health Nurse Practitioner's National Provider Identifier is 1043023419, issued on Jan 29, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Freeport, NY. The record was last updated on Jan 29, 2025.