Provider Demographics
NPI:1487352308
Name:LINDA SANCETTA NP IN ADULT HEALTH, PLLC
Entity type:Organization
Organization Name:LINDA SANCETTA NP IN ADULT HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCETTA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-262-3515
Mailing Address - Street 1:854 E BROADWAY APT 6G
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4733
Mailing Address - Country:US
Mailing Address - Phone:516-421-2274
Mailing Address - Fax:
Practice Address - Street 1:609 ROUTE 109 STE 2B4
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-5072
Practice Address - Country:US
Practice Address - Phone:516-262-3515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty