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NPI Code Detail

MEDICARE: MS. THERESA LOTESTO L.P.N.

MEDICARE: MS. THERESA LOTESTO L.P.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse119190NY

General Provider Information

NPI Number : 1861715872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THERESA LOTESTO L.P.N.
Provider Business Mailing Address
First Line : 26 DUMONT AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-1450
Country : US
Telephone Number : 718-667-8510
Fax Number : 718-667-4524
Provider Business Practice Location Address
First Line : 26 DUMONT AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-1450
Country : US
Telephone Number : 718-667-8510
Fax Number : 718-667-4524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2010
Last Update Date : 03/04/2010

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