Organization
FAMILY HEALTH NURSE PRACTITIONER OF ELMONT PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY PRIESTER NP (PRESIDENT)
(516) 354-5600
Entity
Organization
Contact information
Practice address
135 ROCKMART AVE, ELMONT, NY 11003-1731
(516) 354-5600
(516) 354-1480
Mailing address
135 ROCKMART AVE, ELMONT, NY 11003-1731
(516) 354-5600
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05416142
—
NY
Enumeration date
11/10/2021
Last updated
11/10/2021
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