Individual
MRS. JENNIFER DESETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401654
NY
Other
Enumeration date
11/27/2013
Last updated
04/09/2015
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