Organization
SOUTH SHORE FAMILY HEALTH NP, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY VALEUS (OFFICE MANAGER)
(631) 505-1156
Entity
Organization
Contact information
Practice address
100 DUFFY AVE, HICKSVILLE, NY 11801-3636
(631) 505-1156
Mailing address
100 DUFFY AVE STE 510, HICKSVILLE, NY 11801-3636
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
10/24/2023
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