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Organization
RIVERHEAD NURSE PRACTITIONER IN FAMILY HEALTH PC
Active
Organization
RIVERHEAD NURSE PRACTITIONER IN FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN SMITH NP (PRESIDENT)
(631) 523-7826
Entity
Organization
Contact information
Practice address
59 E MAIN ST, SUITE 1, BAY SHORE, NY 11706-8364
(631) 523-7826
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
12/20/2024
Last updated
02/25/2025
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