Proactive Adult Health Np, P.c.

NPI #1932817533 in Malverne, New York

Provider Information

NPI Number
1932817533
Entity Type
Organization
Organization Name
Proactive Adult Health Np, P.c.
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Nov 11, 2022
Last Updated
Nov 11, 2022

Practice Location

Address
17 LINMOUTH RD
ZIP Code
11565-2202
Phone
(516) 915-9771

Authorized Official

Name
MR. PETER DUPERVAL, NURSE PRACTITIONER
Title
OWNER
Phone
(516) 915-9771

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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