Individual
MRS. DOREEN MARIE EADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2236
(631) 425-2142
Mailing address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2236
(631) 425-2142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007214
NY
Other
Enumeration date
11/15/2005
Last updated
03/07/2023
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