Organization
AMERICAN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN ANN NICHOLSEN (LPN)
(516) 974-1956
Entity
Organization
Contact information
Practice address
10 ROY AVE, WEST ISLIP, NY 11795-1316
(151) 697-4195
Mailing address
10 ROY AVE, WEST ISLIP, NY 11795-1316
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
313020
NY
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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