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Individual

MRS. MARYKE LOUISE TROAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
30 HATFIELD LN, SUITE 101, GOSHEN, NY 10924-6766
(845) 294-2733
Mailing address
30 HATFIELD LN, SUITE 101, GOSHEN, NY 10924-6766
(845) 294-2733

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
563529-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F381773-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02734509
NY
Enumeration date
03/08/2011
Last updated
11/19/2014
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