Individual
JILL COLLEEN NAGORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
97 MASSACHUSETTS AVE, MASSAPEQUA, NY 11758-4107
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
703250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
703250
THE UNIVERSITY OF NEW YORK STATE
NY
Enumeration date
03/26/2020
Last updated
03/26/2020
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