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Individual

ALISON HAUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
321 CROSSWAYS PARK DR # B, WOODBURY, NY 11797-2066
(631) 470-1450
Mailing address
20 WAVECREST AVE, WEST ISLIP, NY 11795-3219
(631) 820-1637

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347177
NY

Other

Enumeration date
12/06/2022
Last updated
12/07/2022
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