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Individual

MS. PATRICIA GOLDSCHRAFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
207 HALLOCK RD SUITE 201, INTERIM HEALTHCARE, STONYBROOK, NY 11790
(631) 689-8920
(631) 689-8955
Mailing address
22 EMERALD ST, LAKE RONKONKOMA, NY 11779-2763
(631) 585-6797

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
379632-1
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
379632-1
NY

Other

Enumeration date
09/19/2011
Last updated
09/19/2011
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