Individual
MRS. BESSY E THANGAVELU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL, C/O LUNG CENTER, MANHASSET, NY 11030
(516) 562-4334
Mailing address
143 S 9TH ST, LINDENHURST, NY 11757-4523
(631) 957-1859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0957G1
PROVIDER #
NY
Enumeration date
03/14/2006
Last updated
07/08/2007
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