Individual
MS. FLORENCE MARY WISSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP,FNP,CARN,CS
Contact information
Practice address
I HIGH ST, PORT JEFFERSON, NY 11777
(631) 928-2377
(631) 473-5210
Mailing address
I HIGH ST, PORT JEFFERSON, NY 11777
(631) 928-2377
(631) 473-5210
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400006
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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