Individual
MS. ANNA ELISABET DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
191 CENTRAL AVE, BOHEMIA, NY 11716-3108
(631) 871-5594
Mailing address
191 CENTRAL AVE, BOHEMIA, NY 11716-3108
(631) 871-5594
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
291211-1
NY
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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