Individual
MS. LORENE MARGARET MISTRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
238 CHESTNUT ST, PORT JEFFERSON STATION, NY 11776-3109
(631) 235-2470
Mailing address
238 CHESTNUT ST, PORT JEFFERSON STATION, NY 11776-3109
(631) 235-2470
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
564009-1
NY
Other
Enumeration date
01/27/2008
Last updated
01/27/2008
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