Individual
MRS. TERESA SARA MORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
1362 E FORKS RD, BAY SHORE, NY 11706-5039
(631) 664-3106
Mailing address
1362 E FORKS RD, BAY SHORE, NY 11706-5039
(631) 664-3106
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
604439
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383600
NY
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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