Individual
MRS. RACHELE D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, AGNP-C
Contact information
Practice address
267 E MAIN ST BLDG C, SMITHTOWN, NY 11787-2847
(631) 418-8069
(631) 656-0470
Mailing address
12 VERA CT, WEST ISLIP, NY 11795-4532
(631) 742-8754
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310960
NY
Other
Enumeration date
02/27/2023
Last updated
01/28/2025
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