Individual
MRS. ELIZABETH FAYE MENSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 N BELLE MEAD RD STE A, SETAUKET, NY 11733-3523
(631) 941-2274
Mailing address
19 FORMAT LN, SMITHTOWN, NY 11787-5540
(631) 826-5036
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308298-1
NY
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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