Sparkle Care Family Health Np Pllc
NPI #1831892462 in Central Islip, New York
Provider Information
- NPI Number
- 1831892462
- Entity Type
- Organization
- Organization Name
- Sparkle Care Family Health Np Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 23, 2023
- Last Updated
- Mar 23, 2023
Practice Location
- Address
- 25 NICOLL AVE
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-3136
- Phone
- (631) 605-4089
Authorized Official
- Name
- TAKEISHA JUDKINS, NP
- Title
- DIRECTOR
- Phone
- (631) 605-4089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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