Organization · Type 2 NPI
Setauket Primary Medical Care PC
Family Nurse Practitioner · East Setauket, NY
NPI number
1649369067
Active
Practice location
12 Brewster Ln
East Setauket, NY 11733-2922
Fax (631) 941-4054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 2278671 (NY) |
| Family Nurse Practitioner | 363LF0000X | 4893961 (NY) |
| Family Nurse Practitioner | 363LF0000X | F334091 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F3040001 (NY) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in East Setauket
About NPI 1649369067
Setauket Primary Medical Care PC's National Provider Identifier is 1649369067, issued on Oct 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Setauket, NY. The record was last updated on Sep 11, 2025.