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Individual
DR. TERESA L BREVETTI
Active
Individual
DR. TERESA L BREVETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
215288-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0498091
GHI PPO ID #
NY
01
—
20-0278746
TAX ID #
NY
01
—
3622352
AETNA HMO ID #
NY
01
—
4C8738
HEALTHNET ID #
NY
01
—
506A91
EMPIRE BCBS OF NY ID #
NY
01
—
7955259
AETNA PPO ID #
NY
01
—
P3608471
OXFORD ID #
NY
Enumeration date
10/10/2005
Last updated
05/20/2015
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