Organization
LONG ISLAND ADULT HEALTH NP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENYA BEARD NP-C EDD (OWNER/PRESIDENT)
(631) 278-3805
Entity
Organization
Contact information
Practice address
16 PINE HILL LN, DIX HILLS, NY 11746-6526
(631) 278-3805
(631) 254-0721
Mailing address
16 PINE HILL LN, DIX HILLS, NY 11746-6526
(631) 278-3805
(631) 254-0721
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304135-1
—
Other
Enumeration date
07/27/2011
Last updated
09/23/2011
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