Individual
CONSTANCE MADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 RESEARCH WAY STE 500, EAST SETAUKET, NY 11733-3470
(631) 444-6270
(631) 444-7620
Mailing address
24 RESEARCH WAY STE 500, EAST SETAUKET, NY 11733-3470
(631) 444-6270
(631) 444-7620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
619181
NY
363LF0000X
Family Nurse Practitioner
Primary
343479
NY
Other
Enumeration date
11/30/2009
Last updated
08/13/2020
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