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Individual

MRS. CLAUDIA C GRAY ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
67 CHRIS SUNDROP COURT, RIVERHEAD, NY 11901
(631) 727-2530
Mailing address
67 CHRIS SUNDROP COURT, RIVERHEAD, NY 11901
(631) 727-2530

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
253034
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01209181
NY
Enumeration date
06/05/2007
Last updated
07/09/2007
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