Individual
CASEY AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
410 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1101
(516) 465-4522
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-1624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
354863
NY
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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