LARA M TREGILLIES

STATEN ISLAND, NY
NPI1124668751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  344841)
Enumeration Date2020-01-11
Last Update Date2020-01-11
Business Address
-- LARA M TREGILLIES NP
130 ROSE AVE
STATEN ISLAND, NY 10306-2241
Phone number: 718-980-1553
Mailing Address
-- LARA M TREGILLIES NP
130 ROSE AVE
STATEN ISLAND, NY 10306-2241
Phone number: 718-980-1553