Individual
JUSTINA M ECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
285 W MAIN ST STE 104, SAYVILLE, NY 11782-2540
(631) 563-8190
Mailing address
285 W MAIN ST STE 104, SAYVILLE, NY 11782-2540
(631) 563-8190
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F-382150
NY
Other
Enumeration date
11/02/2010
Last updated
05/12/2022
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