Individual
CASSANDRA LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56A SHADY LN, WADING RIVER, NY 11792-9340
(631) 603-5196
Mailing address
56A SHADY LN, WADING RIVER, NY 11792-9340
(631) 603-5196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
825269
NY
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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