Individual
CAROLYN TUDISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 470-7000
Mailing address
221 SPORTSMANS AVE, FREEPORT, NY 11520-5635
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3382311
NY
Other
Enumeration date
03/05/2014
Last updated
07/25/2022
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