Individual
MRS. SARA RENEE BOCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
762 DEER PARK RD, DIX HILLS, NY 11746-6221
(631) 254-0094
Mailing address
169 WEYFORD TER, GARDEN CITY, NY 11530-1114
(516) 635-2008
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
716749-1
NY
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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