Individual
MS. LAURETTA MARIE TOMASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 EAST FORDHAM ROAD, BRONX, NY 10458
(718) 329-1276
(718) 231-1586
Mailing address
9 DIMSDALE RD, SCARSDALE, NY 10583-4701
(914) 582-0006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
340392
NY
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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