ANDRE MEZILUS

CORAM, NY
NPI1952699399
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  302390)
Enumeration Date2011-07-19
Last Update Date2011-07-19
Business Address
-- ANDRE MEZILUS
4 POLK CT APT P4
CORAM, NY 11727-3915
Phone number: 646-894-1055
Mailing Address
-- ANDRE MEZILUS
4 POLK CT APT P4
CORAM, NY 11727-3915
Phone number: 646-894-1055
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