Individual
REBECCA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 ALAN ST, HOLBROOK, NY 11741-1107
(516) 418-9197
Mailing address
8 ALAN ST, HOLBROOK, NY 11741-1107
(516) 418-9197
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
209991827
NY
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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