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1780051482
NICOLETA V KOSCHACK
COMMACK, NY
NPI
1780051482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307021)
Enumeration Date
2015-08-28
Last Update Date
2020-11-04
Business Address
NICOLETA V KOSCHACK NP
500 COMMACK RD
COMMACK, NY 11725-5020
Phone number: 631-638-0736
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Mailing Address
NICOLETA V KOSCHACK NP
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-8478
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