| Telehealth Adult Health Nurse Practitioner | |
|
432 N Brookside Ave Freeport NY 11520-1045 | |
| (516) 708-6364 | |
| Not Available |
| Full Name | Telehealth Adult Health Nurse Practitioner |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 432 N Brookside Ave, Freeport, New York |
| Authorized Official Name and Position | Bianca Nicole Rodriquez (OWNER) |
| Authorized Official Contact | 5167086364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telehealth Adult Health Nurse Practitioner 432 N Brookside Ave Freeport NY 11520-1045 Ph: () - | Telehealth Adult Health Nurse Practitioner 432 N Brookside Ave Freeport NY 11520-1045 Ph: (516) 708-6364 |
| NPI Number | 1043023419 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043023419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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