| Jenny Delaleu Nurse Practitioner In Family Health Pllc | |
|
294 W Merrick Rd Ste. #6 Freeport NY 11520-3374 | |
| (516) 279-5484 | |
| Not Available |
| Full Name | Jenny Delaleu Nurse Practitioner In Family Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 294 W Merrick Rd, Freeport, New York |
| Authorized Official Name and Position | Jenny Delaleu (NURSE PRACTITIONER, OWNER) |
| Authorized Official Contact | 5162795484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Delaleu Nurse Practitioner In Family Health Pllc 53 E Merrick Rd # 134 Attn: Credentialing Freeport NY 11520-4056 Ph: (516) 279-5484 | Jenny Delaleu Nurse Practitioner In Family Health Pllc 294 W Merrick Rd Ste. #6 Freeport NY 11520-3374 Ph: (516) 279-5484 |
| NPI Number | 1982011342 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 7517366800 |
|---|---|
| Medicare Enrollment ID | O20210518001642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982011342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | F33-4623 (New York) | Primary |
| Provider Name | Jenny Delaleu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437284551 PECOS PAC ID: 4385802057 Enrollment ID: I20120227000486 |
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