Individual
LINETTE ELIZABETH PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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) 949-6498
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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