Individual
LAURA ECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
450 WAVERLY AVE, SUITE 4, PATCHOGUE, NY 11772-1555
(631) 475-5705
(631) 289-6484
Mailing address
265 LAKESIDE TRL, RIDGE, NY 11961-2209
(631) 886-1445
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F42059-1
NY
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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