Individual
GEORGETTE PRAWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 1ST AVENUE, BAYSHORE, NY 11706
(631) 299-8908
Mailing address
54 1ST AVENUE, BAYSHORE, NY 11706
(631) 299-8908
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
343756041115E
NY
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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