Individual
JACLYN THORESZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
233 E SHORE RD, #112, GREAT NECK, NY 11023-2433
(516) 482-7810
(516) 829-6887
Mailing address
233 E SHORE RD, #112, GREAT NECK, NY 11023-2433
(516) 482-7810
(516) 829-6887
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304224-1
NY
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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