Individual
MS. TERESA M GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
500 COMMACK ROAD SUITE 204, WORLD TRADE CENTER HEALTH PROGRAM, COMMACK, NY 11725
(631) 638-0322
(631) 630-6297
Mailing address
500 COMMACK ROAD SUITE 204, WORLD TRADE CENTER HEALTH PROGRAM, COMMACK, NY 11725
(631) 638-0322
(631) 630-6297
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F303858-1
NY
Other
Enumeration date
06/06/2008
Last updated
05/08/2017
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