Individual
MRS. JEAN MARIE MURPHY-GUSTAVSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 754-7968
Mailing address
766 SHORE WALK, LINDENHURST, NY 11757-5824
(631) 225-1273
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301898-1
NY
Other
Enumeration date
04/03/2006
Last updated
09/09/2008
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