Individual
MRS. HEIDY NICOLE MERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
240 MIDDLE COUNTRY RD, SUITE A, SMITHTOWN, NY 11787
(631) 444-2500
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
649705-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308871
NY
Other
Enumeration date
06/06/2015
Last updated
09/30/2019
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