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Organization
PRIVATE DUTY NURSING
Active
Organization
PRIVATE DUTY NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VANESSA LESANE (LICENSED PRACTICAL NURSE)
(845) 563-0369
Entity
Organization
Contact information
Practice address
165 ANN ST, NEWBURGH, NY 12550-5525
(845) 563-0369
Mailing address
165 ANN ST, NEWBURGH, NY 12550-5525
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
273015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02637887
—
NY
Enumeration date
05/15/2007
Last updated
06/17/2008
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