Individual
MS. DAWN BOSQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41 OKLAHOMA AVE, BAY SHORE, NY 11706-2547
(631) 466-5228
Mailing address
41 OKLAHOMA AVE, BAY SHORE, NY 11706-2547
(631) 466-5228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
288759
NY
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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