LANCIA DEZALON

CORAM, NY
NPI1720624505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  607818)
Enumeration Date2019-11-27
Last Update Date2024-07-18
Business Address
LANCIA DEZALON
3 FREEMONT LN
CORAM, NY 11727-3234
Phone number: 631-538-7295
Mailing Address
LANCIA DEZALON
3 FREEMONT LN
CORAM, NY 11727-3234
Phone number: 631-346-3872