LASTAR KNIGHT

DEER PARK, NY
NPI1750754305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  324040)
Enumeration Date2015-11-04
Last Update Date2015-11-04
Business Address
Ms. LASTAR KNIGHT lpn
73 E 6TH ST
DEER PARK, NY 11729-4311
Phone number: 631-745-1411
Mailing Address
Ms. LASTAR KNIGHT lpn
73 E 6TH ST
DEER PARK, NY 11729-4311
Phone number: 631-745-1411