Individual
MRS. THERESA OTOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
2073 NEWBRIDGE RD, BELLMORE, NY 11710-2222
(516) 781-9898
(516) 781-9702
Mailing address
2073 NEWBRIDGE RD, BELLMORE, NY 11710-2222
(516) 781-9898
(516) 781-9702
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380951
NY
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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