Individual
MRS. LINDA ELISE HORTANANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
379 MOONEY POND RD, SELDEN, NY 11784
(631) 758-4823
Mailing address
93 SOUTHAVEN AVE, MEDFORD, NY 11763
(631) 758-4823
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
429655
NY
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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