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Individual

DR. PATRICIA JEAN OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 632-9510
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 632-9510

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021853
NY

Other

Enumeration date
12/22/2016
Last updated
07/21/2022
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