Individual
MRS. RENATA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
790 PARK AVENUE, HUNTINGTON, NY 11743
(631) 427-3700
(631) 427-9149
Mailing address
790 PARK AVENUE, HUNTINGTON, NY 11743
(631) 427-3700
(631) 427-0347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 605560
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40 401623
NY
Other
Enumeration date
07/10/2013
Last updated
05/21/2020
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