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1740441328
TAMI COLEEN FETZER
HUNTINGTON, NY
NPI
1740441328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F381273-1)
Enumeration Date
2008-06-17
Last Update Date
2008-06-17
Business Address
Mrs. TAMI COLEEN FETZER PNP
270 PARK AVE
HUNTINGTON, NY 11743-2787
Phone number: 631-351-2337
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Mailing Address
Mrs. TAMI COLEEN FETZER PNP
120 LEDGEWOOD DR
SMITHTOWN, NY 11787-4221
Phone number: 631-864-9180
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