Individual
MRS. ILENE ROCHELLE LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7210
(718) 343-3429
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040
(516) 470-7210
(718) 343-3429
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23 011389
NY
Other
Enumeration date
01/22/2007
Last updated
04/30/2012
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