Individual
MRS. ANN E PERRY-BLIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 608-5206
Mailing address
PO BOX 305, BOHEMIA, NY 11716-0305
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401214-1
NY
Other
Enumeration date
02/06/2010
Last updated
01/12/2017
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