Individual
BEVERLY PINNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
124B ORCHID DR, MASTIC BEACH, NY 11951-5027
(631) 761-2503
Mailing address
124B ORCHID DR, MASTIC BEACH, NY 11951-5027
(631) 949-2305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5779371
NY
Other
Enumeration date
06/07/2018
Last updated
07/25/2024
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