JOHN MROZ

PATCHOGUE, NY
NPI1578004750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  402110)
Enumeration Date2017-03-20
Last Update Date2017-03-20
Business Address
-- JOHN MROZ
450 WAVERLY AVE SUITE 11
PATCHOGUE, NY 11772-1555
Phone number: 631-730-7503
Mailing Address
-- JOHN MROZ
PO BOX 1672
COMMACK, NY 11725-0959
Phone number: