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MRS. CATHERINE JOSEPHINE NICOSIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
245 UNION AVE, HOLBROOK, NY 11741-1800
(631) 471-1300
Mailing address
42 10TH ST, LAKE RONKONKOMA, NY 11779-5440
(631) 714-5554

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
610157
NY

Other

Enumeration date
05/31/2011
Last updated
05/31/2011
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