Individual
HURLINE L JEUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BELLE TERRE RD, SUITE 110, PORT JEFFERSON, NY 11777-1928
(631) 476-1010
(631) 642-0105
Mailing address
200 BELLE TERRE RD, SUITE 110, PORT JEFFERSON, NY 11777-1928
(631) 476-1010
(631) 642-0105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3061171
NY
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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