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Individual

LAURA DELABASTIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
380 DOGWOOD AVE, FRANKLIN SQUARE, NY 11010-3447
(516) 481-3660
Mailing address
380 DOGWOOD AVE, FRANKLIN SQUARE, NY 11010-3447

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381416-1
NY

Other

Enumeration date
01/21/2017
Last updated
01/21/2017
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