Individual
LAURAANN NICOLETTO-SYRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HEALTHY WAY # D-4, OCEANSIDE, NY 11572-1551
(516) 632-4167
Mailing address
26 JOSEPH LN, EAST NORWICH, NY 11732-1322
(516) 987-2261
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
440802
NY
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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