Individual
MRS. MARY ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35 ARLINGTON RD, LAKE RONKONKOMA, NY 11779-1605
(631) 471-3411
Mailing address
35 ARLINGTON RD, LAKE RONKONKOMA, NY 11779-1605
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
341982-1
NY
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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