Individual
MS. LYANA M MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 ROSE DR APT C, RONKONKOMA, NY 11779-3195
(631) 605-0908
Mailing address
121 ROSE DR APT C, RONKONKOMA, NY 11779-3195
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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