Individual
MRS. DEBRA HARTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(646) 522-9573
Mailing address
52 CLIFFORD BLVD, HAUPPAUGE, NY 11788-2505
(646) 522-9573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
334686
NY
Other
Enumeration date
04/26/2007
Last updated
05/12/2017
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