TITSANIA ELIZABETH SUPERSAD COLEY

PATCHOGUE, NY
NPI1700623907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  311883)
Enumeration Date2024-07-15
Last Update Date2025-02-04
Business Address
Mrs. TITSANIA ELIZABETH SUPERSAD COLEY AGNP-C
25 SCHOENFELD BLVD
PATCHOGUE, NY 11772-2982
Phone number: 631-807-0085
Mailing Address
Mrs. TITSANIA ELIZABETH SUPERSAD COLEY AGNP-C
372 ISLIP AVE
ISLIP, NY 11751-1808
Phone number: 631-277-8804