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1164575080
DENISE DRISCOLL
PORT JEFFERSON, NY
NPI
1164575080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F400242-1)
Enumeration Date
2007-01-22
Last Update Date
2015-04-30
Business Address
-- DENISE DRISCOLL
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
-- DENISE DRISCOLL
625 BELLE TERRE RD SUITE 100
PORT JEFFERSON, NY 11777-2316
Phone number: 631-473-1320
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