Individual
BETTINA JOY VAN VLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
725 VETERANS MEMORIAL HWY, SMITHTOWN, NY 11787-4314
(631) 852-2680
Mailing address
PO BOX 722, CENTER MORICHES, NY 11934-0722
(631) 495-1819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
795175-01
NY
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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