LAVINIA LOCUST

SUFFERN, NY
NPI1003192360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  473959)
Enumeration Date2011-10-31
Last Update Date2011-10-31
Business Address
LAVINIA LOCUST RN
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 845-357-4500
Mailing Address
LAVINIA LOCUST RN
103 BERKMAN DR
MIDDLETOWN, NY 10941-1254
Phone number: 845-978-4832