Individual
MRS. ADEBIMPE LUCY OGUNDARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
508 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 425-2655
Mailing address
44 ROUTE 25A, APT 505, SMITHTOWN, NY 11787-1400
(631) 949-3560
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327452
NY
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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