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Josephine Gramarosso, RN

Nurse Practitioner, Psych/Mental Health in Wading River, NY. Individual provider (NPI-1).

NPI number1669916672
StatusActive
Last updated in NPPESJan 6, 2022

Details

NPI
1669916672
Entity type
Individual (NPI-1)
Name
Josephine Gramarosso
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Dec 9, 2016
Certification date
Jan 3, 2022
Last updated
Jan 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthF403037NYYes
163W00000X Registered Nurse492681NY

Practice location

2042 N Country Rd
Wading River, NY 11792-1639

Phone 631-257-7968

Mailing address

2042 N Country Rd
Wading River, NY 11792-1639

Phone 631-257-7968

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