Individual
DENISE LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 E MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2871
(631) 265-1622
Mailing address
222 E MIDDLE COUNTRY RD STE 310, SMITHTOWN, NY 11787-2814
(631) 265-1622
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406853
NY
Other
Enumeration date
07/25/2016
Last updated
03/21/2025
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