Organization
E & B NP ASSOCIATES IN WELLNESS; CORP
Active
Organization
E & B NP ASSOCIATES IN WELLNESS; CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBENEZER THANGAVELU NP (OWNER)
(516) 983-5754
Entity
Organization
Contact information
Practice address
53 E MERRICK RD, SUITE 134, FREEPORT, NY 11520-4056
(516) 983-5754
Mailing address
53 E MERRICK RD, SUITE 134, FREEPORT, NY 11520-4056
(516) 983-5754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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