Individual
NINA GRESSER-TACETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 862-3222
Mailing address
PO BOX 6010, HAUPPAUGE, NY 11788-9010
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301025
NY
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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