Individual
MRS. MARY VIRGINIA STRAKOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
150 E 45TH ST, NEW YORK, NY 10017-3115
(212) 949-4857
(212) 513-6022
Mailing address
8 STOCKTON LN, STONY BROOK, NY 11790-3322
(631) 751-1697
(631) 675-6055
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
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