Individual
EILEEN BRIDGET FLYNN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2539 MIDDLE COUNTRY RD, SUITE 4, CENTEREACH, NY 11720-3551
(631) 737-6434
(631) 738-1226
Mailing address
2539 MIDDLE COUNTRY RD, SUITE 4, CENTEREACH, NY 11720-3551
(631) 737-6434
(631) 738-1226
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3011071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01908901
—
NY
Enumeration date
09/28/2005
Last updated
04/01/2008
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