Organization · Type 2 NPI
Ebc Health
Family Nurse Practitioner · Massapequa Park, NY
NPI number
1639336589
Active
Practice location
135 Park Blvd
Massapequa Park, NY 11762-3643
Mailing address
209 Fillmore St
Massapequa Park, NY 11762-1513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F334247 (NY) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
- Winthrop Faculty Medical Affiliates University Faculty Practice CorporInternal Medicine Physician Massapequa Park, NY NPI 1346657756
- Heather Shannon Ogando, DOFamily Medicine Physician Massapequa Park, NY NPI 1023371424
- Marc Steven Levitt, MDInternal Medicine Physician Massapequa Park, NY NPI 1043217987
About NPI 1639336589
Ebc Health's National Provider Identifier is 1639336589, issued on May 19, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Massapequa Park, NY. The record was last updated on Jun 13, 2008.