| NPI | 1992911838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA LESANE Licensed Practical Nurse 845-563-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 273015) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-06-17 |