Individual
JESSICA CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3603
(516) 562-3607
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3603
(516) 562-3607
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306709
NY
Other
Enumeration date
12/04/2013
Last updated
11/25/2020
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