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Individual

BINU BOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25401 75TH AVE, GLEN OAKS, NY 11004-1107
(516) 655-0611
Mailing address
25401 75TH AVE, GLEN OAKS, NY 11004-1107
(516) 655-0611

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347606
NY

Other

Enumeration date
10/27/2025
Last updated
10/27/2025
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