Individual
ALICE J BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
437 PARKSVILLE RD, PARKSVILLE, NY 12768
(845) 292-3296
Mailing address
PO BOX 622, LIVINGSTON MANOR, NY 12758
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0870071
NY
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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