Organization · Type 2 NPI
House Calls Nurse Practitioner In Gerontology
Gerontology Nurse Practitioner · Stony Brook, NY
NPI number
1467750075
Active
Practice location
22 Glenridge Ave
Stony Brook, NY 11790-2402
Fax (855) 735-8332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 340207 (NY) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1467750075
House Calls Nurse Practitioner In Gerontology's National Provider Identifier is 1467750075, issued on Mar 6, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Stony Brook, NY. The record was last updated on Jan 10, 2022.