Individual
ROXANNA CHRISTINE KABOLI-TERGESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3937
Mailing address
14 OAK CT, MERRICK, NY 11566-1649
(610) 613-8012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22562699
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382408
NY
Other
Enumeration date
08/26/2013
Last updated
02/07/2023
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