Individual
LAURA ELIZABETH VINCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2190
(631) 473-1320
Mailing address
11 13TH ST, HOLBROOK, NY 11741-3703
(917) 386-5817
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310905
NY
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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