KELLY A BIVONA

WEST ISLIP, NY
NPI1164777330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  266620-1)
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
Mrs. KELLY A BIVONA lpn
1256 MADISON AVE
WEST ISLIP, NY 11795-1717
Phone number: 631-422-0981
Mailing Address
Mrs. KELLY A BIVONA lpn
1256 MADISON AVE
WEST ISLIP, NY 11795-1717
Phone number: 631-422-0981
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