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1023336567
LISA AYMONG
PORT JEFFERSON, NY
NPI
1023336567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
(Licence: NY 302539)
Enumeration Date
2010-05-07
Last Update Date
2010-05-07
Business Address
Ms. LISA AYMONG NP
150 DARK HOLLOW RD
PORT JEFFERSON, NY 11777-2048
Phone number: 631-473-5400
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Mailing Address
Ms. LISA AYMONG NP
150 DARK HOLLOW ROAD
PORT JEFFERSON, NY 11777
Phone number: 631-473-5400
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