Individual provider · Type 1 NPI

Theresa Nilsson

Specialist · East Patchogue, NY

NPI number 1962763870 Active

Practice location

9 Sharon Dr
East Patchogue, NY 11772-4245

Call (631) 730-6028 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962763870

Theresa Nilsson's National Provider Identifier is 1962763870, issued on Jun 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Patchogue, NY. The record was last updated on Jun 6, 2012.