Individual
ADDLER JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 VANDERBILT AVE, CENTRAL ISLIP, NY 11722-1106
(862) 755-9951
Mailing address
53 VANDERBILT AVE, CENTRAL ISLIP, NY 11722-1106
(862) 755-9951
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
356034
NY
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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