THERESA GRIMES

PORT JEFFERSON, NY
NPI1912910910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F332400-1)
Enumeration Date2006-08-14
Last Update Date2011-02-04
Business Address
-- THERESA GRIMES FNP-BC
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-476-2847
Mailing Address
-- THERESA GRIMES FNP-BC
12 MONITOR CT
CORAM, NY 11727-1634
Phone number: 631-476-2734
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