Individual
MRS. JULIE ANN PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
126 GREENHAVEN DR, PORT JEFFERSON STATION, NY 11776-2845
(631) 240-9833
Mailing address
126 GREENHAVEN DR, PORT JEFFERSON STATION, NY 11776-2845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301417
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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