Individual
BETTY PINKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 GAYNOR AVE, SMITHTOWN, NY 11787
(631) 265-4291
Mailing address
27 PETERS BLVD, CENTRAL ISLIP, NY 11722-3652
(631) 435-1971
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
222130-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02173980
—
NY
Enumeration date
11/02/2007
Last updated
11/02/2007
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