Mj Np in Family Health Care P. C.

NPI #1578182275 in Mastic, New York

Provider Information

NPI Number
1578182275
Entity Type
Organization
Organization Name
Mj Np in Family Health Care P. C.
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Apr 13, 2020
Last Updated
Apr 13, 2020

Practice Location

Address
163 POOSPATUCK LN
City
Mastic
ZIP Code
11950-5201
Phone
(631) 394-5310

Authorized Official

Name
MICHELLE ANN JACKSON, FNP
Title
FNP
Phone
(631) 394-5310

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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