THERESA VERTULLO

PATCHOGUE, NY
NPI1790081107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  F382155-1)
Enumeration Date2011-02-02
Last Update Date2012-03-26
Business Address
-- THERESA VERTULLO PNP
155 EAST WOODSIDE AVENUE
PATCHOGUE, NY 11772
Phone number: 631-758-6565
Mailing Address
-- THERESA VERTULLO PNP
155 E WOODSIDE AVE
PATCHOGUE, NY 11772-1423
Phone number: 631-375-8486
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