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Organization
HOMETOWN HEALTHCARE PORT JERVIS FAMILY HEALTH NURSE PRACTITIONER PLLC
Active
Organization
HOMETOWN HEALTHCARE PORT JERVIS FAMILY HEALTH NURSE PRACTITIONER PLLC
Active
Other names
Hometown Healthcare of Port Jervis
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELLE AGUILA LITTLE FNP-C (MANAGING DIRECTOR)
(845) 204-8204
Entity
Organization
Contact information
Practice address
32 BALL ST, PORT JERVIS, NY 12771-2404
(845) 204-8204
(918) 398-9354
Mailing address
PO BOX 48, PORT JERVIS, NY 12771-0048
(845) 204-8204
(918) 398-8354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
11/19/2024
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