Individual
AGNIESZKA LOUIS-JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MERRY LN, WESTBURY, NY 11590-6343
(516) 852-6412
Mailing address
55 MERRY LN, WESTBURY, NY 11590-6343
(516) 852-6412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1184411
NY
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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