Individual
CARLI PUSATERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 STERLING DR, LAKE GROVE, NY 11755-2321
(631) 838-0133
Mailing address
18 STERLING DR, LAKE GROVE, NY 11755-2321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
754893
NY
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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