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APRIL IDA PLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3 EDMUND D PELLIGRINO ROAD, STONY BROOK, NY 11794-0001
(631) 444-2981
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300673
NY

Other

Enumeration date
08/24/2007
Last updated
08/24/2007
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