Individual
LISA SNELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8200
Mailing address
15 ALDEN WAY, PORT JEFFERSON STATION, NY 11776-4203
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308334
NY
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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