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1306941026
ROSALIE BANOVICH
MILLER PLACE, NY
NPI
1306941026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F400724)
Enumeration Date
2006-09-14
Last Update Date
2023-03-07
Business Address
-- ROSALIE BANOVICH NPP
565 ROUTE 25A STE 209
MILLER PLACE, NY 11764-2600
Phone number: 631-445-6881
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Mailing Address
-- ROSALIE BANOVICH NPP
23 ROCKLEDGE DR.
SHIRLEY, NY 11967
Phone number: 631-445-6881
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