Individual
MRS. THERESA MARIA STALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
125 WOHSEEPEE DR, BAY SHORE, NY 11706-7130
(631) 968-1147
(631) 968-1832
Mailing address
125 WOHSEEPEE DR, BAY SHORE, NY 11706-7130
(631) 968-1147
(631) 968-1832
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
247818
NY
Other
Enumeration date
10/17/2011
Last updated
10/18/2011
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