Susan Phelan, PH D NP
NPI #1487711636 in Port Jefferson, New York
Provider Information
- NPI Number
- 1487711636
- Entity Type
- Individual
- Name
- Susan Phelan, PH D NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- PH D NP
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- 1000 MAIN STREET
- Address 2
- SUITE G
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777
- Phone
- (631) 760-1830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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