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1619259942
SUSAN M AVERSO
MIDDLE ISLAND, NY
NPI
1619259942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F381569-1)
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
Mrs. SUSAN M AVERSO PNP
35 LONGWOOD RD
MIDDLE ISLAND, NY 11953-2045
Phone number: 631-924-1000
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Mailing Address
Mrs. SUSAN M AVERSO PNP
PO BOX 12
MIDDLE ISLAND, NY 11953-0012
Phone number: 631-924-1000
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