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Individual
ROBERT TERRELONGE
Active
Individual
ROBERT TERRELONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
648536
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402484
NY
Other
Enumeration date
12/26/2016
Last updated
07/30/2018
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