Individual
MS. LAURANCE ANNE RAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PSYCHOLOGY
Contact information
Practice address
31 FLINTRIDGE DR, HOLBROOK, NY 11741-2805
(631) 472-2767
Mailing address
31 FLINTRIDGE DR, HOLBROOK, NY 11741-2805
(631) 472-2767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1678038
NY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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