Organization
ARGELIA NURSE PRACTITIONER IN ADULT HEALTH PC
Active
Other names
Lighthouse Adult Health
Organization subpart
No
Provider details
NPI number
Authorized official
ARGELIA DIAZ NP (ADULT NURSE PRACTITIONER)
(631) 278-3452
Entity
Organization
Contact information
Practice address
200 HOWELLS RD, BAY SHORE, NY 11706-5351
(631) 278-3452
(631) 278-3452
Mailing address
96 HURON DR, BAY SHORE, NY 11706-3718
(631) 278-3452
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003750083003
UNITED HEALTHCARE
NY
05
—
03784847
—
NY
01
—
17803991
AETNA
NY
01
—
F306138-A85
HEALTHFIRST
NY
Enumeration date
08/04/2017
Last updated
06/16/2018
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