Individual
LAUREN GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 SUNRISE HWY, MASSAPEQUA, NY 11758-5303
(516) 393-1000
Mailing address
131 E AMES CT, PLAINVIEW, NY 11803-2317
(516) 414-5865
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
104822247
NY
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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