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Organization

PEDIATRIC NURSE PRACTITIONER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOY BEVERLY STENNETT CPNP (CPNP)
(646) 784-6449
Entity
Organization

Contact information

Practice address
2944 HOLIDAY PARK DR, MERRICK, NY 11566-4825
(646) 784-6449
(516) 809-9855
Mailing address
2944 HOLIDAY PARK DR, MERRICK, NY 11566-4825
(646) 784-6449
(516) 809-9855

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary

Other

Enumeration date
07/27/2021
Last updated
07/27/2021
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