Individual
ELAINE MARIE SEPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
HSC T12-080, SUNY STONY BROOK/NEUROSURGERY, STONY BROOK, NY 11794-8122
(631) 444-7925
(631) 444-1535
Mailing address
HSC T12-080, SUNY STONY BROOK/NEUROSURGERY, STONY BROOK, NY 11794-8122
(631) 444-7925
(631) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
300885
NY
363LP0200X
Pediatric Nurse Practitioner
381100
NY
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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