Individual
DENISE A ABSELET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5225-15 ROUTE 347, PORT JEFFERSON STATION, NY 11776
(631) 331-1000
(631) 928-7436
Mailing address
5225-15 ROUTE 347, PORT JEFFERSON STATION, NY 11776
(631) 331-1000
(631) 928-7436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1969171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01582521
—
NY
01
—
110114122
RAILROAD MEDICARE
NY
01
—
2323637
AETNA
NY
01
—
5033816004
CIGNA
NY
01
—
55637
VYTRA
NY
01
—
CP693
OXFORD
NY
Enumeration date
10/05/2006
Last updated
05/22/2008
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