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Alyssa Nicole Venezia, FNP

Nurse Practitioner, Family in Stony Brook, NY. Individual provider (NPI-1).

NPI number1366042764
StatusActive
Last updated in NPPESOct 14, 2021

Details

NPI
1366042764
Entity type
Individual (NPI-1)
Name
Miss Alyssa Nicole Venezia
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 27, 2020
Certification date
Oct 14, 2021
Last updated
Oct 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family346411NYYes

Practice location

1320 Stony Brook Rd Ste 100
Stony Brook, NY 11790-2222

Phone 631-941-2273

Mailing address

1320 Stony Brook Rd Ste 100
Stony Brook, NY 11790-2222

Phone 631-941-2273

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