Organization
PECONIC WELLNESS NP - PSYCHIATRY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ALLISON HERTWIG NP (NURSE PRACTITIONER)
(631) 873-9257
Entity
Organization
Contact information
Practice address
35 MONTAUK HWY, QUOGUE, NY 11959-4000
(631) 873-9257
Mailing address
15 W MONTAUK HWY, HAMPTON BAYS, NY 11946-4001
(631) 873-9257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
11/14/2022
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