Mrs. Annamaria Servellon
Nurse Practitioner - Adult Health Nurse Practitioner - Family Medicine
285 Sills Rd Bldg 5-6
E Patchogue
, New York 11772-4869
Mrs. Annamaria Servellon
Nurse Practitioner - Adult Health Nurse Practitioner - Family Medicine
285 Sills Rd Bldg 5-6
E Patchogue
, New York 11772-4869
(631) 475-5511
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Annamaria Servellon
- 285 Sills Rd Bldg 5-6
- E Patchogue, NY
- Zip : 11772-4869
- Phone : (631) 475-5511
Second Address
- Mrs. Annamaria Servellon
- 285 Sills Rd Bldg 5-6
- E Patchogue, NY
- Zip : 11772-4869
- Phone : (631) 475-5511
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Is Mrs. Annamaria Servellon a sole practitioner?
Is Mrs. Annamaria Servellon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | F335179-1 | NY |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | F335179-1 | NY |
National Provider Identifier
| NPI | 1003069709 |
|---|---|
| Provider Name | Mrs. Annamaria Servellon |
| First Address | E Patchogue, NY 11772-4869 |
| Second Address | E Patchogue, NY 11772-4869 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2008 |
| Last Update Date | 02/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003069709 | ANTHEM (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.