MRS. Irene Logan, NURSE PRACTITIONER
NPI #1750468294 in East Moriches, New York
Provider Information
- NPI Number
- 1750468294
- Entity Type
- Individual
- Name
- MRS. Irene Logan, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 516 MONTAUK HWY
- City
- East Moriches
- State
- New York
- ZIP Code
- 11940-1225
- Phone
- (631) 874-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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