Provider Information for 1972997294
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RAIHANA BOSSE LMSW
Sex: Female
NPI: 1972997294
Last Updated: 2015-03-25
Certification Date:
Certification Date:
Details
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| NPI | 1972997294 | ||||||||
| Enumeration Date | 2015-03-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 10819 ROCKAWAY BLVD SOUTH OZONE PARK, NY 11420-1034 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 8802 ROCKAWAY BEACH BLVD ROCKAWAY BEACH, NY 11693-1609 United States Phone: 718-634-3461 | Fax: | ||||||||
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