Doctor Name: | MRS. ERIN O'BRIEN |
NPI Number: | 1588086581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 503510 |
Business Practice Address: | 66 Hawkins Ave Center Moriches, NY - 119342302 |
Business Phone Number: | 5165543685 |
Business Fax Number: | 5167663634 |
Mailing Address: | 66 Hawkins Ave, CENTER MORICHES |
State: | NY |
Postal Code: | 119342302 |
Phone Number: | 5165543685 |
Fax Number: | 5167663634 |
NPI Enumeration Date: | 01/09/2014 |
NPI Last Update Date: | 01/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 503510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |