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Joanne Thesatus
Family Nurse Practitioner in Massapequa, New York
NPI 1154962496

Joanne Thesatus is a Family Nurse Practitioner based in Massapequa, NY and is specialized in Family. Joanne Thesatus practices in Massapequa, NY. The NPI Number for Joanne Thesatus is 1154962496 and holds a License No. F345056-01 (New York).

The current practice location address for Joanne Thesatus is 25 Denise St, Massapequa, NY and can be reached out via phone at 516-343-0405.

Location: 25 Denise St, Massapequa, NY, 11758-4318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154962496
Provider Name
Joanne Thesatus
Credential
Provider Entity Type
Individual
Gender
Female
Address
25 Denise St, Massapequa, NY, 11758-4318
Phone Number
516-343-0405
Fax Number
Provider Enumeration Date
10/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25 Denise St
City
Massapequa
State
New York
Zip
11758-4318
Phone Number
516-343-0405
Fax Number
person
Provider Business Mailing Address Details
Address
25 Denise St
City
Massapequa
State
New York
Zip
11758-4318
Phone Number
516-343-0405
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F345056-01 (New York)
Definition
Definition to come...
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