Doctor Name: | MS. GLORIA MARIA SOMMERSON |
NPI Number: | 1184848251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 448024-1 |
Business Practice Address: | 1 Farmingdale Rd West Babylon, NY - 117046545 |
Business Phone Number: | 6316695355 |
Business Fax Number: | 6316691471 |
Mailing Address: | 17 Sycamore St, CENTRAL ISLIP |
State: | NY |
Postal Code: | 117224327 |
Phone Number: | 6312344077 |
Fax Number: | 6316691471 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 448024-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |