Individual
MRS. LAURA FARACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 LANSING LN, EAST NORTHPORT, NY 11731-5328
(631) 368-0720
Mailing address
18 LANSING LN, EAST NORTHPORT, NY 11731-5328
(631) 368-0720
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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