Individual
JUDITH M PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4330
(516) 562-4332
Mailing address
972 BRUSH HOLLOW RD, 4TH FLOOR, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301286
NY
Other
Enumeration date
08/20/2006
Last updated
08/10/2015
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