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Organization

PETER SPERICO NURSE PRACTITIONER IN F

Active
Parent organization
PETER SPERICO NURSE PRACTITIONER IN FAMILY HEALT
Organization subpart
Yes

Provider details

NPI number
Legal business name
PETER SPERICO NURSE PRACTITIONER IN FAMILY HEALT
Authorized official
MR. PETER STEVEN SPERICO FNP (PRESIDENT)
(516) 455-3413
Entity
Organization

Contact information

Practice address
1056 GARDINER DRIVE, PETER SPERICO NURSE PRACTITIONER IN FAMILY HEALTH PC, BAY SHORE, NY 11706-6314
(516) 455-3413
(631) 969-0093
Mailing address
1056 GARDINER DRIVE, PETER SPERICO NURSE PRACTITIONER IN FAMILY HEALTH PC, BAY SHORE, NY 11706-6314
(516) 455-3413
(631) 969-0093

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
409409
NY
363L00000X
Nurse Practitioner
Primary
336101
NY

Other

Enumeration date
04/01/2011
Last updated
04/11/2011
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