Individual
JOHN MROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 WAVERLY AVE, SUITE 11, PATCHOGUE, NY 11772-1555
(631) 730-7503
Mailing address
PO BOX 1672, COMMACK, NY 11725-0959
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402110
NY
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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