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Rosalie Banovich, NPP
Psychiatric/Mental Health Nurse Practitioner in Miller Place, New York
NPI 1306941026

Rosalie Banovich is a Psychiatric/Mental Health Nurse Practitioner based in Shirley, NY and is specialized in Psychiatric/Mental Health. Rosalie Banovich practices in Miller Place, NY and has the professional credentials of NPP. The NPI Number for Rosalie Banovich is 1306941026 and holds a License No. F400724 (New York).

The current practice location address for Rosalie Banovich is 565 Route 25A Ste 209, Miller Place, NY and can be reached out via phone at 631-445-6881 and via fax at 631-849-4926.

Location: 565 Route 25A Ste 209, Miller Place, NY, 11967
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Provider Profile Details
NPI Number
1306941026
Provider Name
Rosalie Banovich
Credential
NPP
Provider Entity Type
Individual
Gender
Female
Address
565 Route 25A Ste 209, Miller Place, NY, 11967
Phone Number
631-445-6881
Fax Number
631-849-4926
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F400724 01 NY PSYCH NURSE PRACT. LIC
330804 01 NY REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
565 Route 25A Ste 209
City
State
Zip
11764-2600
Phone Number
631-445-6881
Fax Number
631-849-4926
person
Provider Business Mailing Address Details
Address
565 Route 25A Ste 209
City
State
Zip
11764-2600
Phone Number
631-445-6881
Fax Number
631-849-4926
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F400724 (New York)
Definition
Definition to come...
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