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Individual

JILLIAN MARIE FRATEPIETRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ANP-C

Contact information

Practice address
24 RESEARCH WAY, SUITE 500, EAST SETAUKET, NY 11733-3487
(631) 444-6270
(631) 444-6552
Mailing address
HSC LEVEL T9 RM 040 UFPC SBUMC, STONY BROOK UROLOGY, STONY BROOK, NY 11794-8093
(631) 444-1916
(631) 444-3765

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
521994
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
30305265
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
521994
NY
Enumeration date
08/09/2008
Last updated
11/27/2012
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