Individual provider · Type 1 NPI
Seda Angelina Port, NP
Adult Health Nurse Practitioner · Long Beach, NY
NPI number
1447745278
Active
Practice location
428 E Harrison St
Long Beach, NY 11561-2346
Other practice locations
- 1200 Gravesend Neck Rd, Brooklyn, NY 11229-4256 · (718) 332-8634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404487 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308735 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1447745278
Seda Angelina Port, NP's National Provider Identifier is 1447745278, issued on Jun 25, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Long Beach, NY. The record was last updated on Oct 31, 2022.