Individual
MARIE S CALIXTE-LYSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 STATION PLZ N STE 518, MINEOLA, NY 11501-3893
(516) 663-2588
Mailing address
586 STOWE AVE, NORTH BALDWIN, NY 11510-1628
(516) 313-3381
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F310454-01
NY
Other
Enumeration date
07/24/2023
Last updated
08/05/2023
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