Individual
EILEEN KILGUS-REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, FNP-BC
Contact information
Practice address
650 COMMACK RD, COMMACK, NY 11725
(631) 623-4253
Mailing address
650 COMMACK RD, COMMACK, NY 11725-5404
(631) 623-4253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341360
NY
Other
Enumeration date
12/19/2018
Last updated
12/04/2019
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