Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI Number | 1629310214 |
| LBN Legal business name | SUFFOLK UNIVERSITY HEALTH AND WELLNESS SERVICES OFFICE |
| Authorized official | DANIELLE MANNING - (SENIOR VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/21/2013 |
| Last updated | 04/16/2013 - About 13 years ago |
| Identifiers | n/a |
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