Organization
HOUSE CALLS NURSE PRACTITIONER IN GERONTOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE ROSE MCNAMARA MS, NP-C (DIRECTOR)
(631) 365-2095
Entity
Organization
Contact information
Practice address
22 GLENRIDGE AVE, STONY BROOK, NY 11790-2402
(631) 365-2095
(855) 735-8332
Mailing address
22 GLENRIDGE AVE, STONY BROOK, NY 11790-2402
(631) 365-2095
(855) 735-8332
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340207
NY
Other
Enumeration date
03/06/2011
Last updated
01/10/2022
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