Individual
LAURA M GOLDSCHRAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
4875 SUNRISE HWY STE 200, BOHEMIA, NY 11716
(631) 444-3987
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-3987
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F001811-1
—
363LW0102X
Women's Health Nurse Practitioner
Primary
421322
NY
Other
Enumeration date
11/28/2017
Last updated
07/20/2018
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