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MS. LAURA ROSE CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
3601 HEMPSTEAD TPKE STE 405, LEVITTOWN, NY 11756-1331
(631) 714-4100
(631) 714-4191
Mailing address
24 GROVE ST, MASSAPEQUA, NY 11758-5101
(631) 714-4100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
342818
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406353
NY

Other

Enumeration date
02/08/2018
Last updated
03/26/2025
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