Individual
DR. MARIE TERESE OPPEDISANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24 APPLEGREEN DR, OLD WESTBURY, NY 11568-1203
(516) 626-1341
(516) 621-0948
Mailing address
24 APPLEGREEN DR, OLD WESTBURY, NY 11568-1203
(516) 626-1341
(516) 621-0948
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
6061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00767 74
GHI
NY
05
—
01734207
—
NY
01
—
120780
VYTRA
NC
Enumeration date
12/08/2005
Last updated
07/08/2007
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