Individual
LAURA ANNE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6080 JERICHO TPKE STE 314, COMMACK, NY 11725-2808
(631) 462-2200
Mailing address
7 CHESHIRE PL, EAST NORTHPORT, NY 11731-2502
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308849-1
NY
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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