COLLETTA LATOYA JERRICK

BAY SHORE, NY
NPI1922720887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F403813-01)
Enumeration Date2022-09-16
Last Update Date2022-09-16
Business Address
COLLETTA LATOYA JERRICK Nurse Practitioner
1548 E FORKS RD
BAY SHORE, NY 11706-3144
Phone number: 631-308-7658
Mailing Address
COLLETTA LATOYA JERRICK Nurse Practitioner
1548 E FORKS RD
BAY SHORE, NY 11706-3144
Phone number: 631-308-7658
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