Most Relevant Information
Provider Data
| NPI Number: | 1003543166 |
| Provider Name: | THERESA MCINTYRE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 310490 |
Most Important Dates
| Enumeration Date: | 08/08/2022 |
| Last Updated: | 08/08/2022 |
Provider Practice Location
110 E 60TH ST RM 900
NEW YORK
NY
100221697
Practice Location Phone/Fax
| Phone: | 6464810156 |
| Fax: |
Provider Mailing Location
3160 33RD ST APT B1
ASTORIA
NY
111062424
Provider Mailing Phone/Fax
| Phone: | 8607097674 |
| Fax: |