Tnlj Np LLC
NPI #1205595048 in Central Islip, New York
Provider Information
- NPI Number
- 1205595048
- Entity Type
- Organization
- Organization Name
- Tnlj Np LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 25 NICOLL AVE
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-3136
- Phone
- (718) 517-1660
Authorized Official
- Name
- TAKEISHA JUDKINS
- Title
- OWNER
- Phone
- (718) 517-1660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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