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MRS. PATRICIA ANN SIROTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
3666 NIMROD ST, SEAFORD, NY 11783-3415
(516) 221-5704
(516) 221-5704
Mailing address
3666 NIMROD ST, SEAFORD, NY 11783-3415
(516) 221-5704
(516) 221-5704

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301805
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F301805
NEW YORK STATE LICENSE
NY
Enumeration date
10/22/2010
Last updated
10/22/2010
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