Individual
MISS ALYSSA NICOLE VENEZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1320 STONY BROOK RD STE 100, STONY BROOK, NY 11790-2222
(631) 941-2273
Mailing address
1320 STONY BROOK RD STE 100, STONY BROOK, NY 11790-2222
(631) 941-2273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
346411
NY
Other
Enumeration date
10/27/2020
Last updated
10/14/2021
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