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1578934964
MARY WERTHEIM
STONY BROOK, NY
NPI
1578934964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY F307318-1)
Enumeration Date
2015-10-12
Last Update Date
2016-08-01
Business Address
MARY WERTHEIM NP
STONY BROOK MEDICINE EM 100 NICOLLS ROAD, HSC, LEVEL 4, ROOM 080
STONY BROOK, NY 11794-8350
Phone number: 631-444-2478
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Mailing Address
MARY WERTHEIM NP
29 SETALCOTT PL
SETAUKET, NY 11733-1323
Phone number: 631-624-6857
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