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1326372459
MELISSA J BOSCO
WEST ISLIP, NY
NPI
1326372459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013486)
Enumeration Date
2009-09-22
Last Update Date
2020-04-29
Business Address
MELISSA J BOSCO PA
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4236
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Mailing Address
MELISSA J BOSCO PA
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-8118
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