| Family Health Nurse Practitioner Of Elmont Professional Corporation | |
|
135 Rockmart Ave Elmont NY 11003-1731 | |
| (516) 354-5600 | |
| (516) 354-1480 |
| Full Name | Family Health Nurse Practitioner Of Elmont Professional Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 135 Rockmart Ave, Elmont, New York |
| Authorized Official Name and Position | Tiffany Priester (PRESIDENT) |
| Authorized Official Contact | 5163545600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Nurse Practitioner Of Elmont Professional Corporation 135 Rockmart Ave Elmont NY 11003-1731 Ph: (516) 354-5600 | Family Health Nurse Practitioner Of Elmont Professional Corporation 135 Rockmart Ave Elmont NY 11003-1731 Ph: (516) 354-5600 |
| NPI Number | 1386300796 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386300796 | NPI | - | NPPES |
| 05416142 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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