Organization
NUMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY BRYAN 52930 CTRS (ACTIVITIES SPECIALIST I)
(516) 885-4988
Entity
Organization
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 296-3209
Mailing address
111 EDMUNTON DR APT G6, NORTH BABYLON, NY 11703-5259
(516) 885-4988
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
52930
NY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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