Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Bollerup, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1669250098

Desiree Bollerup, AGPCNP is a Nurse Practitioner in Greenlawn, New York. Qualified in 2023, 3 years ago. Practices with Huntington Hospital Dolan Family Health Center, a 9-clinician group. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

284 Pulaski Rd
Greenlawn, NY 11740-1602
Phone: (631) 425-5250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F311371-01 (NY)

Record details

NPI number1669250098
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Huntington Hospital Dolan Family Health Center — 9 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Greenlawn