Individual
AUTUMN M VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
885 HAMPSHIRE RD, BAY SHORE, NY 11706-7631
(631) 968-1247
(631) 968-1807
Mailing address
13 FORDHAM PL, BAY SHORE, NY 11706-8003
(631) 968-1247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
822809
NY
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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