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1578004750
JOHN MROZ
PATCHOGUE, NY
NPI
1578004750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 402110)
Enumeration Date
2017-03-20
Last Update Date
2017-03-20
Business Address
-- JOHN MROZ
450 WAVERLY AVE SUITE 11
PATCHOGUE, NY 11772-1555
Phone number: 631-730-7503
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Mailing Address
-- JOHN MROZ
PO BOX 1672
COMMACK, NY 11725-0959
Phone number:
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