Individual
BEREDU TERESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
1337 MANATUCK BLVD, BAY SHORE, NY 11706-5409
(443) 474-0486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
299390
NY
208M00000X
Hospitalist Physician
Primary
299390
NY
Other
Enumeration date
06/03/2016
Last updated
08/20/2019
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