Individual
TAMARA J DUROSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20010 MCLAUGHLIN AVE, HOLLIS, NY 11423-1312
(718) 926-9929
Mailing address
20010 MCLAUGHLIN AVE, HOLLIS, NY 11423-1312
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
22DU1560986
NY
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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