Individual
BETH A PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 S OCEAN AVE, PATCHOGUE, NY 11772-3738
(631) 654-0789
Mailing address
PO BOX 907, MATTITUCK, NY 11952-0913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
485167
NY
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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