Individual
BERNICE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 POWELL AVE, CENTRAL ISLIP, NY 11722-2500
(347) 419-6588
Mailing address
170 POWELL AVE, CENTRAL ISLIP, NY 11722-2500
(347) 419-6588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
389286
NY
Other
Enumeration date
01/29/2012
Last updated
01/29/2012
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