Facts
- Status
- A
- Credential
- RN
- Type
- Individual
- Enumeration date
- 2010-03-25
- Last updated
- 2010-03-25
Specialties
Licenses
- License NY
- 589526
Location
- Practice location
- 39 STATESMAN ST
- City
- BABYLON NY
- Postal code
- 117021310
- Phone
- 631-383-1062
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.