MEDICARE: ARYEL MOMPLAISIR NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	312396	NY

General Provider Information

NPI Number	:	1235097445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARYEL MOMPLAISIR NP

Provider Business Mailing Address
First Line	:	963 ARDMORE RD
Second Line	:
City	:	NORTH BALDWIN
State	:	NY
Zip	:	11510-1502
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 NICOLLS RD
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-3407
Country	:	US
Telephone Number	:	631-632-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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