| Doctor Name: | DR. MARIE TERESE OPPEDISANO |
| NPI Number: | 1518942911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 6061 |
| Business Practice Address: | 24 Applegreen Dr Old Westbury, NY - 115681203 |
| Business Phone Number: | 5166261341 |
| Business Fax Number: | 5166210948 |
| Mailing Address: | 24 Applegreen Dr, OLD WESTBURY |
| State: | NY |
| Postal Code: | 115681203 |
| Phone Number: | 5166261341 |
| Fax Number: | 5166210948 |
| NPI Enumeration Date: | 12/08/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | 6061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |