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Individual

MR. LUIS J EHRMAN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ANP-C

Contact information

Practice address
22 MISSISSIPPI AVE, PORT JEFFERSON STATION, NY 11776-3012
(631) 476-7116
Mailing address
22 MISSISSIPPI AVE, PORT JEFFERSON STATION, NY 11776-3012
(631) 790-1239

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304949
NY

Other

Enumeration date
11/17/2008
Last updated
11/17/2008
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