Individual
MR. PETER LOSCIALPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2799
(631) 351-2000
Mailing address
135 BURR RD, EAST NORTHPORT, NY 11731-5338
(631) 942-8404
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
728798
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
138538
NY
Other
Enumeration date
09/29/2021
Last updated
12/08/2021
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