Allison Connors-Wesch

Individual provider Active NPI Registered Nurse · Centereach, NY

NPI 1063748754 · NPPES record last updated Oct 30, 2009

Key facts

NPI
1063748754
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
619320 (NY)
Practice address
22 Continental Dr
Centereach, NY 11720-1446
Phone
(631) 732-4571
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
619320NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 619320 NY Yes

Addresses

Primary practice location

22 Continental Dr
Centereach, NY 11720-1446

Mailing address

22 Continental Dr
Centereach, NY 11720-1446
Phone (631) 732-4571

Other providers in Centereach, NY

All providers in Centereach, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.