Organization
PERSONNEL HEALTHCARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANGETA MCGROWTHER FERGUSON NP (OWNER)
(516) 867-5111
Entity
Organization
Contact information
Practice address
91 WASHBURN AVE, FREEPORT, NY 11520-2308
(516) 867-5111
Mailing address
91 WASHBURN AVE, FREEPORT, NY 11520-2308
(516) 867-5111
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340165
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01917082
—
NY
Enumeration date
10/20/2013
Last updated
10/20/2013
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