Adult Healthcare NP PLLC
Organization Active NPI Adult Health Nurse Practitioner · Lynbrook, NY
NPI 1669903100 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1669903100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 307783 (NY)
- Legal business name
- ADULT HEALTHCARE NP PLLC
- Practice address
- 275 Broadway
Lynbrook, NY 11563-3243 - Phone
- (516) 515-0597
- Fax
- (516) 837-9847
- NPI assigned
- Mar 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Prof. Carletta Stackhouse, NP
- Title
- Ceo
- Phone
- (516) 515-0597
National Provider Directory
Locations
650 Stewart Ave
Ste 102
Garden City, NY 11530
Phone (516) 515-0597
339 Hempstead Ave
Malverne, NY 11565
Phone (516) 515-0597
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | 307783 | NY | Yes |
Addresses
Primary practice location
275 Broadway
Lynbrook, NY 11563-3243
Mailing address
339 Hempstead Ave
PO Box 328
Malverne, NY 11565
Phone (516) 515-0597
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All providers in Lynbrook, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.