Individual
DEBRA TESORIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
155 E WOODSIDE AVE, PATCHOGUE, NY 11772-1423
(631) 758-6565
(631) 758-6568
Mailing address
155 E WOODSIDE AVE, PATCHOGUE, NY 11772-1423
(631) 758-6565
(631) 758-6568
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382507
NY
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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