Individual
LINDA NOREEN CULLOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 MOTT LN, BROOKHAVEN, NY 11719-9620
(631) 538-9507
Mailing address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1019
(631) 761-3500
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
746911
NY
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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