Organization
FEDERATION OF ORGANIZATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA MARIA SOMMERSON RN (REGISTERED NURSE)
(631) 669-5355
Entity
Organization
Contact information
Practice address
1 FARMINGDALE RD, WEST BABYLON, NY 11704-6545
(631) 669-5355
(631) 669-1517
Mailing address
1 FARMINGDALE RD, WEST BABYLON, NY 11704-6545
(631) 669-5355
(631) 669-1517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
448024-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
448024-1
LICENSE
NY
Enumeration date
12/29/2006
Last updated
06/27/2008
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