Individual
LIAM JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
212 ICELAND DR, HUNTINGTON STATION, NY 11746-4242
(631) 469-1512
Mailing address
212 ICELAND DR, HUNTINGTON STATION, NY 11746-4242
(631) 469-1512
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
N13571-01
NY
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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