MICHAEL ANDRE BACCHUS

CORAM, NY
NPI1760885263
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  292701-1)
Enumeration Date2014-09-29
Last Update Date2014-09-29
Business Address
-- MICHAEL ANDRE BACCHUS LPN
31 GAETANO LN
CORAM, NY 11727
Phone number: 631-624-8348
Mailing Address
-- MICHAEL ANDRE BACCHUS LPN
31 GAETANO LN
CORAM, NY 11727-2343
Phone number: 631-624-8348
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