Individual
DONNA ANDRICOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HSC T12 RM 080, STONY BROOK, NY 11794-0001
(631) 444-1213
Mailing address
8 CEDARFIELD TER, SAINT JAMES, NY 11780-1521
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302692-1
NY
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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