Individual
CAROLYN LOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 JASPER AVE, PATCHOGUE, NY 11772-1415
(631) 599-2327
Mailing address
36 JASPER AVE, PATCHOGUE, NY 11772-1415
(631) 599-2327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
754500
NY
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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