# JENNY DELALEU NURSE PRACTITIONER IN FAMILY HEALTH PLLC

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

## Provider details

- **NPI number:** 1578953501
- **Authorized official:** JENNY DELALEU (OWNER)
- **Authorized official phone:** (516) 279-5484

## Contact information

- **Practice address:** 294 W MERRICK RD STE 1, FREEPORT, NY 11520-3357
- **Practice address phone:** (516) 279-5484
- **Practice address fax:** (516) 589-7569
- **Mailing address:** 53 E MERRICK RD, \#134, FREEPORT, NY 11520-4056
- **Mailing address phone:** (516) 279-5484
- **Mailing address fax:** (516) 589-7569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | F334623 | NY | — |
| 207Q00000X | Family Medicine Physician | F334623 | NY | Yes |
| 261QH0100X | Health Service Clinic/Center | F334623 | NY | — |

## Other

- **Enumeration date:** 01/29/2015
- **Last updated:** 05/31/2024