Individual
AVIGAIL LABRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
599 JUNE PL, VALLEY STREAM, NY 11581-3023
(516) 510-2996
Mailing address
599 JUNE PL, VALLEY STREAM, NY 11581-3023
(516) 510-2996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
621954
NY
363LF0000X
Family Nurse Practitioner
Primary
340416
NY
Other
Enumeration date
11/25/2009
Last updated
01/19/2020
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