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Individual
MISS LARA DENYSE KOSAR
Active
Individual
MISS LARA DENYSE KOSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
716623131
NY
174400000X
Specialist
Primary
737151131
NY
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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