EUSTACHE JUNIOR ROMAIN

BELLPORT, NY
NPI1386903987
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  309806)
Enumeration Date2012-05-16
Last Update Date2012-05-16
Business Address
-- EUSTACHE JUNIOR ROMAIN L.P.N
350 MARTHA AVE
BELLPORT, NY 11713-1525
Phone number: 631-286-6585
Mailing Address
-- EUSTACHE JUNIOR ROMAIN L.P.N
777 CLINTON AVE S
ROCHESTER, NY 14620-1448
Phone number: