Individual
LAUREN TESORIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1157 BROADWAY, HEWLETT, NY 11557-2325
(516) 295-4481
Mailing address
1157 BROADWAY, HEWLETT, NY 11557-2325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31353401
NY
207RR0500X
Rheumatology Physician
Primary
31353401
NY
Other
Enumeration date
04/12/2018
Last updated
09/30/2024
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