Individual
MISS LAUREN TABLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
9 SHILOH CT, CORAM, NY 11727-1642
(631) 291-3337
Mailing address
991 MAIN ST STE 201, HOLBROOK, NY 11741-1608
(631) 364-2647
(631) 350-0584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
654232-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404303-1
NY
Other
Enumeration date
09/12/2013
Last updated
12/09/2022
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