ROSALIE BANOVICH

MILLER PLACE, NY
NPI1306941026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY  F400724)
Enumeration Date2006-09-14
Last Update Date2023-03-07
Business Address
ROSALIE BANOVICH NPP
565 ROUTE 25A STE 209
MILLER PLACE, NY 11764-2600
Phone number: 631-445-6881
Mailing Address
ROSALIE BANOVICH NPP
23 ROCKLEDGE DR.
SHIRLEY, NY 11967
Phone number: 631-445-6881
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