Individual
ELEANORE A UNEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 475-5606
Mailing address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 475-5606
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306550-1
NY
Other
Enumeration date
08/20/2013
Last updated
09/10/2015
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