Individual
MRS. ELEANOR MELLON DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
335B MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5051
(631) 287-5990
(631) 287-5995
Mailing address
59 HARVEST LN, SOUTHAMPTON, NY 11968-3956
(631) 287-1545
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420361
NY
Other
Enumeration date
10/27/2005
Last updated
04/02/2010
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