Individual
COREEN MARIE DESABATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 CAMPBELL AVE, WANTAGH, NY 11793-1705
(516) 941-7757
Mailing address
2905 CAMPBELL AVE, WANTAGH, NY 11793-1705
(516) 941-7757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
254433
NY
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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