Individual
LIONEL JEANLOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
9 VALLEY FORGE DR, WYANDANCH, NY 11798-1225
(631) 505-7632
Mailing address
9 VALLEY FORGE DR, WYANDANCH, NY 11798-1225
(631) 505-7632
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
005278-1
NY
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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