TELEHEALTH ADULT HEALTH NURSE PRACTITIONER
NPI 1043023419
Clinic/Center - Primary Care in Freeport, NY

Active since January 29, 2025
432 N BROOKSIDE AVE, FREEPORT, NY 11520(516) 708-6364 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Telehealth Adult Health Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TELEHEALTH ADULT HEALTH NURSE PRACTITIONER (NPI 1043023419) is a healthcare organization registered as a primary care in Freeport, New York and active in the NPI registry since January 2025. The organization lists Bianca Nicole Rodriquez, Owner, as its authorized official.

NPPES Registry Identity

NPI1043023419
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTELEHEALTH ADULT HEALTH NURSE PRACTITIONER
Location Address432 N BROOKSIDE AVEFreeport, NY 11520-1045
Mailing Address432 N Brookside AveFreeport, NY 11520-1045
Organization SubpartNo
Authorized OfficialBianca Nicole RodriquezOwner · (516) 708-6364
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1043023419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
432 N BROOKSIDE AVE, Freeport, NY 11520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Telehealth Adult Health Nurse Practitioner's NPI number?

The NPI number for Telehealth Adult Health Nurse Practitioner is 1043023419. It was assigned to this organization in the NPPES registry on January 29, 2025.

Where is Telehealth Adult Health Nurse Practitioner located?

Telehealth Adult Health Nurse Practitioner is located at 432 N Brookside Ave, Freeport, NY 11520. The listed phone number is (516) 708-6364.

What is Telehealth Adult Health Nurse Practitioner's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Telehealth Adult Health Nurse Practitioner was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.