Individual
LUCIEN OCTAVIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 WARNER AVE, ROSLYN HEIGHTS, NY 11577-1000
(516) 621-5400
(516) 621-4879
Mailing address
75 1ER ANE BOLOSSE, PORT-AU-PRINCE, CAPITAL WI
(509) 103-5339
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
31055-1
NY
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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