Individual
TERESA ANN BEBIRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
5 TOWN HOUSE DR, MASSAPEQUA PARK, NY 11762-1160
(516) 459-1257
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
028823
NY
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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