Individual
HEIDI KUBIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
375 E MAIN ST STE 7, BAY SHORE, NY 11706-8418
(631) 666-6780
Mailing address
375 E MAIN ST STE 7, BAY SHORE, NY 11706-8418
(631) 666-6780
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382414
NY
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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