Individual
CALLE MARAN MILBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
154 COMMACK RD STE 100, COMMACK, NY 11725-3457
(631) 499-8282
Mailing address
515 3RD ST, EAST NORTHPORT, NY 11731-2920
(631) 560-1734
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383483
NY
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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