Individual
EMILY MONGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
535 LAKEVIEW AVE, BAYPORT, NY 11705-1205
(631) 521-1608
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310317
NY
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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