Individual
LAURA BRUSTAD-MATUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
532A UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 661-6883
(631) 661-7782
Mailing address
532A UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 661-6883
(631) 661-7782
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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