Individual
PAULINE TUCKER-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(347) 885-5721
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(347) 885-5721
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
546035
NY
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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