TITSANIA ELIZABETH SUPERSAD COLEY

PORT JEFFERSON, NY
NPI1700623907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  311883)
Enumeration Date2024-07-15
Last Update Date2024-07-15
Business Address
Mrs. TITSANIA ELIZABETH SUPERSAD COLEY AGNP-C
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777-1928
Phone number: 631-474-6000
Mailing Address
Mrs. TITSANIA ELIZABETH SUPERSAD COLEY AGNP-C
372 ISLIP AVE
ISLIP, NY 11751-1808
Phone number: 631-277-8804
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