Individual
CONSTANCE DJIOFACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 LOWER ROCKY POINT RD, SOUND BEACH, NY 11789-1000
(631) 381-2741
Mailing address
215 LOWER ROCKY POINT RD, SOUND BEACH, NY 11789-1000
(631) 381-2741
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337161
NY
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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