Individual
YVONNE DESILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 HEALTHY WAY, ATT: PHYSICIAN BILLING-CREDENTIALS, OCEANSIDE, NY 11572-1551
(516) 255-1616
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-5304
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400760
NY
Other
Enumeration date
09/20/2006
Last updated
06/16/2008
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