Organization
ANN L LETOURNEAU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN L LETOURNEAU MD (OWNER)
(631) 473-4200
Entity
Organization
Contact information
Practice address
96 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1388
(631) 473-4200
(631) 473-4995
Mailing address
PO BOX 155, CENTER MORICHES, NY 11934-0155
(631) 473-4200
(631) 473-4995
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
197047
NY
Other
Enumeration date
04/13/2010
Last updated
12/03/2012
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