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Organization

ADULT HEALTHCARE NP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. CARLETTA STACKHOUSE NP (CEO)
(516) 515-0597
Entity
Organization

Contact information

Practice address
650 STEWART AVE STE 102, GARDEN CITY, NY 11530-4738
(516) 515-0597
(516) 837-9847
Mailing address
339 HEMPSTEAD AVE, PO BOX 328, MALVERNE, NY 11565
(516) 515-0597
(516) 837-9847

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307783
NY

Other

Enumeration date
03/27/2017
Last updated
12/31/2024
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