Individual
AUDRA DECKER-PRESTIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
89 MARIAN CT, WARWICK, NY 10990-4047
(845) 544-0749
Mailing address
89 MARIAN CT, WARWICK, NY 10990-4047
(845) 544-0749
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 281348
NY
Other
Enumeration date
10/28/2008
Last updated
09/16/2015
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