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1285020396
LORRAINE WISNIESKI
HAUPPAUGE, NY
NPI
1285020396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
(Licence: NY 297848-1)
Enumeration Date
2015-04-15
Last Update Date
2015-04-15
Business Address
-- LORRAINE WISNIESKI R.N.
200 WIRELESS BLVD
HAUPPAUGE, NY 11788-3974
Phone number: 631-853-7373
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Mailing Address
-- LORRAINE WISNIESKI R.N.
2 LONGWOOD DR
HUNTINGTON STATION, NY 11746-4716
Phone number:
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