ICYLYN LONG

SPRINGFIELD GARDENS, NY
NPI1861731655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  310624)
Enumeration Date2013-02-13
Last Update Date2013-02-13
Business Address
-- ICYLYN LONG
14743 224TH ST
SPRINGFIELD GARDENS, NY 11413-4145
Phone number: 347-612-2668
Mailing Address
-- ICYLYN LONG
14743 224TH ST
SPRINGFIELD GARDENS, NY 11413-4145
Phone number:
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