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Organization
PAUL ADULT HEALTH NURSE PRACTITIONER PLLC
Active
Organization
PAUL ADULT HEALTH NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHINI MYLAKKATTU PAUL (OWNER)
(631) 459-9500
Entity
Organization
Contact information
Practice address
7 WEAVER LN, DIX HILLS, NY 11746-5018
(631) 459-9500
Mailing address
7 WEAVER LN, DIX HILLS, NY 11746-5018
(631) 459-9500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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