Organization · Type 2 NPI
On the Go NP In Adult Health
Adult Health Nurse Practitioner · Hicksville, NY
NPI number
1366153199
Active
Practice location
130 S Fordham Rd
Hicksville, NY 11801-6000
Mailing address
442 S Oyster Bay Rd # 1020
Hicksville, NY 11801-3515
Other practice locations
- 442 S Oyster Bay Rd # 1020, Hicksville, NY 11801-3515 · (718) 413-8168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1366153199
On the Go NP In Adult Health's National Provider Identifier is 1366153199, issued on Dec 13, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hicksville, NY. The record was last updated on Dec 13, 2022.