Individual
BERNE CANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
904 WALLACE AVE, NORTH BALDWIN, NY 11510-2147
(516) 867-0847
Mailing address
904 WALLACE AVE, NORTH BALDWIN, NY 11510-2147
(516) 867-0847
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323156
NY
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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