Individual
MR. ROBERT LEE TERRELONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NPP, ANP
Contact information
Practice address
33 CLARENDON DR, VALLEY STREAM, NY 11580-2503
(516) 376-4111
(516) 593-1307
Mailing address
33 CLARENDON DR, VALLEY STREAM, NY 11580-2503
(516) 376-4111
(516) 593-1307
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400836
NY
Other
Enumeration date
09/25/2008
Last updated
08/11/2022
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