Individual
MRS. MARY ELIZABETH PACIELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS, NP
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, 101 NICHOLS ROAD SBUH 8S ROOM 142, STONY BROOK, NY 11794-7080
(631) 444-8187
(631) 444-6199
Mailing address
3 WASHINGTON AVE, PORT JEFFERSON STATION, NY 11776-3071
(631) 338-2060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
A517819-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F304070-1
NY
364SA2200X
Adult Health Clinical Nurse Specialist
A517819-1
NY
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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