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Individual

JOHN J LOSCALZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 666-6752
(631) 666-0684
Mailing address
24 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 666-6752
(631) 666-0684

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
189705
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01888302
NY
Enumeration date
11/25/2005
Last updated
12/09/2009
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