Organization
ADULT HEALTHCARE NP PLLC
Active
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
275 BROADWAY, LYNBROOK, NY 11563-3243
(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
07/16/2026
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