Individual
MR. DARRYL A BOSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
182 E BRIDGE ST, OSWEGO, NY 13126-2211
(315) 216-6649
Mailing address
182 E BRIDGE ST, OSWEGO, NY 13126-2211
(315) 216-6649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278326
NY
Other
Enumeration date
12/16/2008
Last updated
07/31/2013
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