Individual
MRS. ANGELA MARIE LAURUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED.
Contact information
Practice address
187 6TH AVE, HOLTSVILLE, NY 11742-2341
(631) 627-3698
Mailing address
187 6TH AVE, HOLTSVILLE, NY 11742-2341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1873740
NY
174400000X
Specialist
Primary
829646
NY
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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