SUSAN M AVERSO

MIDDLE ISLAND, NY
NPI1619259942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  F381569-1)
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
Mrs. SUSAN M AVERSO PNP
35 LONGWOOD RD
MIDDLE ISLAND, NY 11953-2045
Phone number: 631-924-1000
Mailing Address
Mrs. SUSAN M AVERSO PNP
PO BOX 12
MIDDLE ISLAND, NY 11953-0012
Phone number: 631-924-1000