Individual
LAURA ANN BOSSERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSPED
Contact information
Practice address
1605 FOREST AVE, STATEN ISLAND, NY 10302-2229
(718) 816-1325
(718) 816-1325
Mailing address
1605 FOREST AVE, STATEN ISLAND, NY 10302-2229
(718) 816-1325
(718) 816-1325
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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