Individual
CANDICE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
625 MONTAUK HWY, CENTER MORICHES, NY 11934
(631) 878-7134
(631) 878-5118
Mailing address
625 MONTAUK HWY, CENTER MORICHES, NY 11934
(631) 878-7134
(631) 878-5118
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306987-1
NY
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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