Individual
JENNA BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
421 DEER PARK AVE, BABYLON, NY 11702-2313
(631) 941-1000
Mailing address
80 COUNTRY CLUB RD, BELLPORT, NY 11713-2325
(631) 807-2786
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309438-01
NY
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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