Individual
ANNE DEPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 GRANT ST, FREEPORT, NY 11520-6247
(516) 377-4545
Mailing address
47 GRANT ST, FREEPORT, NY 11520-6247
(516) 377-4545
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
091238
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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