OrganizationActive
Adult Healthcare NP PLLC
NPI 1669903100 · Adult Health Nurse Practitioner · Garden City, NY
Provider details
- NPI number
- 1669903100
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Carletta Stackhouse, Ceo
- License
- 307783 (NY)
Practice location
650 Stewart Ave Ste 102
Garden City, NY 11530-4738
Phone: (516) 515-0597
Fax: (516) 837-9847
Mailing address
339 Hempstead Ave
Malverne, NY 11565
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2024-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.