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Organization

A I B H NURSE PRACTITIONER-PSCYHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON ROSSELAND (PRACTICE ADMINISTRATOR)
(631) 689-5433
Entity
Organization

Contact information

Practice address
3771 NESCONSET HWY STE 212, SOUTH SETAUKET, NY 11720-1154
(631) 689-5390
(631) 883-6652
Mailing address
3771 NESCONSET HWY STE 212, SOUTH SETAUKET, NY 11720-1154
(631) 689-5433
(631) 883-6652

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/16/2008
Last updated
12/28/2018
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