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Individual

MRS. PATRICIA MARY HUBBARD-ELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
3 TECHNOLOGY DR, EAST SETAUKET, NY 11733
(631) 444-5220
Mailing address
10 MASON LN, SLINGERLANDS, NY 12159-3617
(631) 921-8352

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F000735
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02073807
NY
Enumeration date
07/11/2006
Last updated
10/13/2017
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