Individual
CLARE M. DEIGNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 BRITTLE LN, HICKSVILLE, NY 11801-6126
(516) 298-5291
(516) 433-0420
Mailing address
155 BRITTLE LN, HICKSVILLE, NY 11801-6126
(516) 298-5291
(516) 433-0420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
169086021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169086021
TEACHER
—
Enumeration date
06/11/2012
Last updated
06/11/2012
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