Provider Demographics
NPI:1104424290
Name:NANCY CANDIO DUPLESSY NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:NANCY CANDIO DUPLESSY NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:CANDIO
Authorized Official - Last Name:DUPLESSY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:516-360-4327
Mailing Address - Street 1:11734 240TH ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4016
Mailing Address - Country:US
Mailing Address - Phone:516-360-4327
Mailing Address - Fax:
Practice Address - Street 1:11734 240TH ST
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4016
Practice Address - Country:US
Practice Address - Phone:516-360-4327
Practice Address - Fax:516-285-6502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care