Individual
ANNE-EDITH THELUSCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
99 LAFAYETTE DR STE 201, SYOSSET, NY 11791-3933
(516) 734-7000
Mailing address
99 LAFAYETTE DR STE 201, SYOSSET, NY 11791-3933
(516) 734-7000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
311159
NY
Other
Enumeration date
01/11/2023
Last updated
10/02/2024
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