Individual
ANTONIA PINCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 RAYNOR ST, FREEPORT, NY 11520-4527
(516) 771-3451
Mailing address
80 RAYNOR ST, FREEPORT, NY 11520-4527
(516) 771-3451
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
346049
NY
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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