Individual provider · Type 1 NPI

Vesta Yazdanseta, NURSE PRACTITIONER

Gerontology Nurse Practitioner · East Setauket, NY

NPI number 1407174956 Active

Practice location

29 Branch Ln
East Setauket, NY 11733-3316

Call (631) 681-9228 Map

Fax (631) 681-9228

Mailing address

14 Washington Ave
Port Jefferson Station, NY 11776-3074

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X622666-1 (NY)
Gerontology Nurse Practitioner Primary 363LG0600XF307382-1 (NY)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1407174956

Vesta Yazdanseta, NURSE PRACTITIONER's National Provider Identifier is 1407174956, issued on May 7, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in East Setauket, NY. The record was last updated on Jul 21, 2022.