Individual
IOLANI BEHRBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 COMMUNITY DR, MANHASSET, NY 11030-3822
(516) 403-9104
Mailing address
31 PINE ST, BABYLON, NY 11702-2026
(631) 827-9673
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310829
NY
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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