Individual
LONI LEIGH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 STUDIO ARC, BRONXVILLE, NY 10708-2631
(914) 202-0135
Mailing address
2 TOWNSEND AVE, NYACK, NY 10960-4818
(201) 919-5179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
309210
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
309210
NY
Other
Enumeration date
02/06/2020
Last updated
08/28/2024
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