MISS Lara Denyse Kosar

NPI #1548645955 in Commack, New York

Provider Information

NPI Number: 1548645955
Entity Type: Individual
Name: MISS Lara Denyse Kosar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 27, 2015
Last Updated: Jul 27, 2015

Practice Location

Address: 10 BETHANY DR
City: Commack
State: New York
ZIP Code: 11725-1609
Phone: (516) 474-1290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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