Individual
MR. LENNOX GODWIN DEBARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
640 WILLIS ST, SOUTH HEMPSTEAD, NY 11550
(516) 385-6611
Mailing address
640 WILLIS ST, SOUTH HEMPSTEAD, NY 11550-8000
(516) 385-6611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400814
NY
Other
Enumeration date
10/09/2006
Last updated
06/21/2018
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