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Organization
SMITHTOWN FAMILY WELLNESS NP PC
Active
Organization
SMITHTOWN FAMILY WELLNESS NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SMITH DOREEN NP (PRESIDENT)
(631) 523-7826
Entity
Organization
Contact information
Practice address
300 E MAIN ST STE 2, SMITHTOWN, NY 11787-2900
(904) 654-2410
Mailing address
336 NICOLLS RD, DEER PARK, NY 11729-1806
(631) 523-7826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
09/06/2024
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