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1790795896
MARY KOSLAP PETRACO
AMITYVILLE, NY
NPI
1790795896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F380420)
Enumeration Date
2006-08-09
Last Update Date
2011-12-09
Business Address
Dr. MARY KOSLAP PETRACO NP
1080 SUNRISE HIGHWAY MAXINE S POSTAL TRI COMMUNITY HEALTH CENTER
AMITYVILLE, NY 11701
Phone number: 631-854-1000
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Mailing Address
Dr. MARY KOSLAP PETRACO NP
1080 SUNRISE HIGHWAY MAXINE S POSTAL TRI COMMUNITY HEALTH CENTER
AMITYVILLE, NY 11701
Phone number: 631-854-1000
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