LORI WAGNER-TANICO

HICKSVILLE, NY
NPI1104068816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  492163)
Enumeration Date2009-03-26
Last Update Date2009-03-26
Business Address
Ms. LORI WAGNER-TANICO RN
950 S OYSTER BAY RD
HICKSVILLE, NY 11801-3510
Phone number: 516-822-6111
Mailing Address
Ms. LORI WAGNER-TANICO RN
950 S OYSTER BAY RD
HICKSVILLE, NY 11801-3510
Phone number: 516-822-6111
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