Individual
LAURA ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
219 SUNSET AVE, ISLAND PARK, NY 11558-2209
(516) 413-6197
Mailing address
219 SUNSET AVE, ISLAND PARK, NY 11558-2209
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
472870
NY
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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