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Individual

MRS. MARY VIRGINIA STRAKOSCH

Active
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Individual

MRS. MARY VIRGINIA STRAKOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380209
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000087693
GHI HMO
NY
01
38020901
NEIGHBORHOOD HEALTH PROVI
NY
01
PC4140
CENTER CARE
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
Update your record

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