MRS. Maryalice Koch, RN
NPI #1326232422 in Farmingville, New York
Provider Information
- NPI Number
- 1326232422
- Entity Type
- Individual
- Name
- MRS. Maryalice Koch, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Aug 31, 2007
- Last Updated
- Aug 31, 2007
Practice Location
- Address
- 15 ALLEGHENY DR E
- City
- Farmingville
- State
- New York
- ZIP Code
- 11738-2803
- Phone
- (631) 696-1128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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