Individual
MS. NORDEA ELOINA HARRISON-BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57190 MAIN RD, SOUTHOLD, NY 11971-4750
(631) 626-1006
Mailing address
41 FIG ST, CENTRAL ISLIP, NY 11722-4001
(917) 913-2442
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG03190066
NY
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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