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Theresa Jeanne Nicosia, RNMSFNP
Primary Care Nurse Practitioner in Lake Grove, New York
NPI 1710077821

Theresa Jeanne Nicosia is a Primary Care Nurse Practitioner based in Lake Grove, NY and is specialized in Primary Care. Theresa Jeanne Nicosia practices in Lake Grove, NY and has the professional credentials of RNMSFNP. The NPI Number for Theresa Jeanne Nicosia is 1710077821 and holds a License No. F334231-1 (New York).

The current practice location address for Theresa Jeanne Nicosia is 6 Park View Ln, Lake Grove, NY and can be reached out via phone at 631-467-8229.

Location: 6 Park View Ln, Lake Grove, NY, 11755-1854
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Provider Profile Details
NPI Number
1710077821
Provider Name
Theresa Jeanne Nicosia
Credential
RNMSFNP
Provider Entity Type
Individual
Gender
Female
Address
6 Park View Ln, Lake Grove, NY, 11755-1854
Phone Number
631-467-8229
Fax Number
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02703515 05 NY
institution
Provider Business Practice Location Address Details
Address
6 Park View Ln
City
State
Zip
11755-1854
Phone Number
631-467-8229
Fax Number
person
Provider Business Mailing Address Details
Address
6 Park View Ln
City
State
Zip
11755-1854
Phone Number
631-467-8229
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F334231 (New York)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
F334231-1 (New York)
Definition
Definition to come...
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