Provider Demographics
NPI:1588426977
Name:LAND, SEA AIR NP IN FAMILY HEALTH
Entity type:Organization
Organization Name:LAND, SEA AIR NP IN FAMILY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CINCOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-225-3060
Mailing Address - Street 1:910 ROUTE 109 STE D
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-1158
Mailing Address - Country:US
Mailing Address - Phone:631-225-3060
Mailing Address - Fax:631-225-3064
Practice Address - Street 1:910 ROUTE 109 STE D
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-1158
Practice Address - Country:US
Practice Address - Phone:631-225-3060
Practice Address - Fax:631-225-3064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine