Individual
NOEL IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
140 ADAMS AVE, HAUPPAUGE, NY 11788-3618
(631) 615-6011
Mailing address
140 ADAMS AVE, HAUPPAUGE, NY 11788-3618
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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