Individual
MS. MYRNA DELAROSAMATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
45 BROOK AVE, BAY SHORE, NY 11706-7416
(631) 968-1133
Mailing address
1463 BRENTWOOD RD, BAY SHORE, NY 11706-4431
(631) 968-1133
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
464567
NY
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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