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1114635786
CAROLINE LAROSA
HAUPPAUGE, NY
NPI
1114635786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F404384-01)
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
CAROLINE LAROSA
111 SMITHTOWN BYP STE 204
HAUPPAUGE, NY 11788-2512
Phone number: 631-275-6694
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Mailing Address
CAROLINE LAROSA
78 BROADWAY
MALVERNE, NY 11565-1635
Phone number: 516-787-0076
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