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Individual
THERESA JEANNE NICOSIA
Active
Individual
THERESA JEANNE NICOSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334231-1
NY
363LP2300X
Primary Care Nurse Practitioner
F334231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703515
—
NY
Enumeration date
10/13/2006
Last updated
05/10/2016
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