| Organization Name: | PETER SPERICO NURSE PRACTITIONER IN F |
| NPI Number: | 1861781619 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER STEVEN SPERICO (PRESIDENT) |
| Mailing Address: | 1056 Gardiner Drive Peter Sperico Nurse Practitioner In Family Health Pc Bay Shore |
| State: | NY US |
| Postal Code: | 117066314 |
| Phone Number: | 5164553413 |
| Fax Number: | 6319690093 |
| NPI Enumeration Date: | 04/01/2011 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163W00000X |
| License Number: | 409409 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |