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Laura Vassallo
NPI 1710364534 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1135 Udall Rd
Bay Shore, NY 11706 - Phone
- (631) 387-2561
- Fax
- (631) 586-2009
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York