Individual
MR. MARYJO BROSNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 ANDERSON AVE, NORTH BABYLON, NY 11703-3412
(631) 242-9287
Mailing address
50 ANDERSON AVE, NORTH BABYLON, NY 11703-3412
(631) 242-9287
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
289062-1
NY
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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