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Individual

LEMUEL G PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 397-0797
Mailing address
109 REMINGTON AVE, SELDEN, NY 11784-1919
(631) 949-4866

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
NY

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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