Individual
MRS. MIRIAM LEE PENNISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 VETERANS HWY STE 12, COMMACK, NY 11725-4300
(631) 486-8400
(631) 486-8080
Mailing address
340 VETERANS HWY STE 12, COMMACK, NY 11725-4300
(631) 486-8400
(631) 486-8080
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
301536 NP
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
379-297 RN
NY
Other
Enumeration date
09/19/2006
Last updated
12/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us