SAMUEL EMMANUEL DICKERSON

ROOSEVELT, NY
NPI1902139447
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  241150-1)
Enumeration Date2009-09-16
Last Update Date2009-09-16
Business Address
Mr. SAMUEL EMMANUEL DICKERSON lpn
95 W GREENWICH AVE
ROOSEVELT, NY 11575-1035
Phone number: 516-481-3421
Mailing Address
Mr. SAMUEL EMMANUEL DICKERSON lpn
95 W GREENWICH AVE
ROOSEVELT, NY 11575-1035
Phone number: 516-481-3421