Theresa Jeanne Nicosia, RN MS FNP
NPI #1710077821 in Lake Grove, New York
Provider Information
- NPI Number
- 1710077821
- Entity Type
- Individual
- Name
- Theresa Jeanne Nicosia, RN MS FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- RN MS FNP
- Enumeration Date
- Oct 13, 2006
- Last Updated
- May 10, 2016
Practice Location
- Address
- 6 PARK VIEW LN
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-1854
- Phone
- (631) 467-8229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Primary Care — Primary Care |
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