Individual
MS. ALICE S. BUTKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6207
Mailing address
7 TEE VIEW CT, MANORVILLE, NY 11949-2939
(631) 874-9502
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F-302845-1
NY
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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