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1386096881
THERESA AIELLO
PORT JEFFERSON, NY
NPI
1386096881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 307779)
Enumeration Date
2016-07-07
Last Update Date
2017-06-12
Business Address
-- THERESA AIELLO NP
70 N COUNTRY RD
PORT JEFFERSON, NY 11777-2161
Phone number: 631-642-0609
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Mailing Address
-- THERESA AIELLO NP
70 N COUNTRY RD
PORT JEFFERSON, NY 11777-2161
Phone number:
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