Individual
DOMENICA RAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
MATHER HOSPITAL, 75 N COUNTRY ROAD, PORT JEFFERSON, NY 11777
(631) 473-1320
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645874
NY
363LF0000X
Family Nurse Practitioner
Primary
344016
NY
Other
Enumeration date
12/16/2012
Last updated
03/23/2023
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