Individual
SANDRA KAY PUERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28 EMERALD LN N, AMITYVILLE, NY 11701-2043
(631) 408-0090
Mailing address
28 EMERALD LN N, AMITYVILLE, NY 11701-2043
(631) 408-0090
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
480034
NY
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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