Individual
LAUREN ANN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 559-5422
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 559-5422
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433056
NY
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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