Doctor Name: | MRS. ELEANOR MELLON DUNHAM |
NPI Number: | 1023008224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F420361 |
Business Practice Address: | 335b Meeting House Ln Southampton, NY - 119685051 |
Business Phone Number: | 6312875990 |
Business Fax Number: | 6312875995 |
Mailing Address: | 59 Harvest Ln, SOUTHAMPTON |
State: | NY |
Postal Code: | 119683956 |
Phone Number: | 6312871545 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 04/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | F420361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |