Individual
PATRICIA JOAN FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
NICHOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-1066
Mailing address
NICHOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-1066
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303627
NY
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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