Individual
DARIA BOSSERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 LINCOLN AVE, SAYVILLE, NY 11782-1409
(631) 589-3667
Mailing address
109 LINCOLN AVE, SAYVILLE, NY 11782-1409
(631) 589-3667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
393453-1
NY
163WH0200X
Home Health Registered Nurse
393453-1
NY
163WP0200X
Pediatric Registered Nurse
Primary
393453-1
NY
Other
Enumeration date
09/16/2009
Last updated
09/20/2010
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