Organization
JENNY DELALEU NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY DELALEU (OWNER)
(516) 279-5484
Entity
Organization
Contact information
Practice address
294 W MERRICK RD STE 1, FREEPORT, NY 11520-3357
(516) 279-5484
(516) 589-7569
Mailing address
53 E MERRICK RD, #134, FREEPORT, NY 11520-4056
(516) 279-5484
(516) 589-7569
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
F334623
NY
207Q00000X
Family Medicine Physician
Primary
F334623
NY
261QH0100X
Health Service Clinic/Center
F334623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437284551
NPI
NY
Enumeration date
01/29/2015
Last updated
05/31/2024
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