Individual
BEVERLEY CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
4 NAPLES AVE, CENTRAL ISLIP, NY 11722-2417
(631) 234-2340
Mailing address
4 NAPLES AVE, CENTRAL ISLIP, NY 11722-2417
(631) 234-2340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294853
NY
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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