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Individual

DEBBIE EKSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN-C, PNP

Contact information

Practice address
1575 BROADWAY, HEWLETT, NY 11557-1428
(516) 374-0555
Mailing address
510 WINDSOR PL, OCEANSIDE, NY 11572-1146
(516) 376-1659

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380547
NY

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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