Individual
ANDREW OUTCAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
(631) 548-6000
Mailing address
27 GREAT RIVER DR, SOUND BEACH, NY 11789-2032
(631) 365-7298
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
719616
NY
Other
Enumeration date
07/01/2025
Last updated
12/26/2025
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