Organization
PAUL ADULT HEALTH NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHINI MYLAKKATTU PAUL (OWNER)
(631) 459-9500
Entity
Organization
Contact information
Practice address
7 WEAVER LN, DIX HILLS, NY 11746-5018
(631) 459-9500
Mailing address
7 WEAVER LN, DIX HILLS, NY 11746-5018
(631) 459-9500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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