Individual
MRS. ALLISON BETH MAISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1173 N COUNTRY RD, STONY BROOK, NY 11790-1916
(631) 444-4400
Mailing address
99 POOSPATUCK LN, MASTIC, NY 11950-5207
(631) 205-8256
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272711
NY
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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