# ADULT HEALTHCARE NP PLLC

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

## Provider details

- **NPI number:** 1669903100
- **Authorized official:** PROF. CARLETTA STACKHOUSE NP (CEO)
- **Authorized official phone:** (516) 515-0597

## Contact information

- **Practice address:** 275 BROADWAY, LYNBROOK, NY 11563-3243
- **Practice address phone:** (516) 515-0597
- **Practice address fax:** (516) 837-9847
- **Mailing address:** 339 HEMPSTEAD AVE, PO BOX 328, MALVERNE, NY 11565
- **Mailing address phone:** (516) 515-0597
- **Mailing address fax:** (516) 837-9847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 307783 | NY | Yes |

## Other

- **Enumeration date:** 03/27/2017
- **Last updated:** 07/16/2026