Laura Vassallo

NPI 1710364534 - Registered Nurse - 163W00000X

NPI Details
NPI 1710364534
Gender Female
Enumeration Date 04/30/2015
Last Updated 04/30/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1135 UDALL RD
BAY SHORE NY, 11706-1905, US
Phone (631) 387-2561
Fax (631) 586-2009
Business Location
1135 UDALL RD
BAY SHORE NY, 11706-1905, US
Phone (631) 387-2561
Fax (631) 586-2009
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 417386-1
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According to our database, Laura Vassallo NPI is 1710364534, taxonomy code is 163W00000X and license number is 417386-1, license state is located at New York. Laura Vassallo physically located at 1135 Udall Rd, Bay Shore NY, 11706-1905. NPI Number Laura Vassallo has the Individual type.

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1710364534 NPI number is provided on an as is basis without warranty of any kind. 1710364534 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Vassallo are for informational purposes only.