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Individual

MRS. MARSHA AMOI LOCASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
430 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-7550
Mailing address
430 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040-1121

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382324
NY

Other

Enumeration date
10/22/2012
Last updated
10/22/2012
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