LISA AMBROSE

EAST SETAUKET, NY
NPI1902279029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F307463-1)
Enumeration Date2015-11-11
Last Update Date2016-01-25
Business Address
-- LISA AMBROSE NP
4 TECHNOLOGY DR SUITE 120
EAST SETAUKET, NY 11733-4080
Phone number: 631-246-8289
Mailing Address
-- LISA AMBROSE NP
4 TECHNOLOGY DR SUITE 120
EAST SETAUKET, NY 11733-4080
Phone number: 631-246-8289
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