# LONG ISLAND ADULT HEALTH NP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013295906
- **Authorized official:** DR. KENYA BEARD NP-C EDD (OWNER/PRESIDENT)
- **Authorized official phone:** (631) 278-3805

## Contact information

- **Practice address:** 16 PINE HILL LN, DIX HILLS, NY 11746-6526
- **Practice address phone:** (631) 278-3805
- **Practice address fax:** (631) 254-0721
- **Mailing address:** 16 PINE HILL LN, DIX HILLS, NY 11746-6526
- **Mailing address phone:** (631) 278-3805
- **Mailing address fax:** (631) 254-0721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F304135-1 | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | F304135-1 | — | Yes |

## Other

- **Enumeration date:** 07/27/2011
- **Last updated:** 09/23/2011