Individual
CAMILLE LYNN LINEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ACNP-BC
Contact information
Practice address
650 COMMACK RD, COMMACK, NY 11725-5404
(631) 636-0590
Mailing address
650 COMMACK RD, COMMACK, NY 11725-5404
(631) 636-0590
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430393
NY
Other
Enumeration date
02/29/2008
Last updated
09/06/2024
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