Individual
EMILY LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
120 MINEOLA BLVD STE 500, MINEOLA, NY 11501-4074
(516) 663-9500
(516) 663-4613
Mailing address
700 HICKSVILLE RD STE 205, BETHPAGE, NY 11714-3472
(212) 263-4539
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311518-01
NY
Other
Enumeration date
07/01/2024
Last updated
03/10/2025
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