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1801045984
THERESA LORRAINE STAVOLA
STONY BROOK, NY
NPI
1801045984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 301910)
Enumeration Date
2008-09-15
Last Update Date
2008-09-15
Business Address
Ms. THERESA LORRAINE STAVOLA ANP
HSC T16-080 NICHOLLS RD DEPT OF INTERNAL MEDICINE DIV OF CARDIOLOGY SUNY STONY BROOK UNIVERSITY HOSPITAL
STONY BROOK, NY 11794
Phone number: 631-444-1066
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Mailing Address
Ms. THERESA LORRAINE STAVOLA ANP
HSC T16-080 NICHOLLS RD DEPT OF INTERNAL MEDICINE DIV OF CARDIOLOGY SUNY STONY BROOK UNIVERSITY HOSPITAL
STONY BROOK, NY 11794
Phone number: 631-444-1066
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