Individual
NINANE M BOSCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 BRYANT AVE, FLORAL PARK, NY 11001-1226
(516) 270-2112
Mailing address
238 BRYANT AVE, FLORAL PARK, NY 11001-1226
(516) 270-2112
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
011172
NY
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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