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Individual

PROF. DENISE F.O. D'AMBROSIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, FNP-C, PROF

Contact information

Practice address
T16-020 HSC, STONY BROOK, NY 11794-8171
(631) 444-1062
(631) 444-1054
Mailing address
47A SALLY LA, RIDGE, NY 11961-2429
(631) 345-5198
(631) 345-5198

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332998-1
NY

Other

Enumeration date
01/26/2009
Last updated
01/26/2009
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