Individual
MRS. BEVERLY R GOLISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23 COUNTRY CLUB RD, HOPEWELL JUNCTION, NY 12533
(914) 669-5639
Mailing address
21 YERKES ROAD, NORTH SALEM, NY 10560
(914) 669-5639
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2252361
NY
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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