Individual
LOIS LEA ABILDNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
450 BUEL AVE, STATEN ISLAND, NY 10305-2245
(718) 980-3184
(718) 980-5798
Mailing address
3042 RICHMOND RD, STATEN ISLAND, NY 10306-1937
(718) 979-8587
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
354769-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000
—
NY
Enumeration date
03/07/2012
Last updated
03/07/2012
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