Individual
DEA E ABBENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
SBUH 15 NORTH, 15 NORTH ROOM 082 ZIP 7151, STONY BROOK, NY 11794-7151
(631) 444-1234
(631) 444-1235
Mailing address
SBUH 15 NORTH, 15 NORTH ROOM 082 ZIP 7151, STONY BROOK, NY 11794-7151
(631) 444-1234
(631) 444-1235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303013
NY
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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