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Organization

PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER A MEYER NP (NURSE PRACTICIONER)
(631) 548-6063
Entity
Organization

Contact information

Practice address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
(631) 548-6063
(631) 548-6007
Mailing address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
(631) 548-6063
(631) 548-6007

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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