Individual
MRS. CHELISE MAE DEOLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2288
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382331-1
NY
Other
Enumeration date
12/03/2012
Last updated
08/11/2022
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