Individual
ANNA L TESORIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 ONEIDA AVE, SOUTH SETAUKET, NY 11720-1131
(206) 588-9011
Mailing address
35 ONEIDA AVE, SOUTH SETAUKET, NY 11720-1131
(206) 588-9011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
655660
NY
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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