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Individual

MRS. LORI ANN CHODASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
21 4TH AVE, BAY SHORE, NY 11706-7908
(631) 665-6707
Mailing address
21 4TH AVE, BAY SHORE, NY 11706-7908
(631) 665-6707

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
F382177-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406470
NY

Other

Enumeration date
01/04/2011
Last updated
04/22/2025
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