Organization
J&P WATSON
Active
Other names
Interim Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERLEEN JACQUELINE LEWIS LPN (NURSE)
(845) 325-4367
Entity
Organization
Contact information
Practice address
90 GRAY AVE, MEDFORD, NY 11763-1065
(845) 325-4367
Mailing address
90 GRAY AVE, MEDFORD, NY 11763-1065
(845) 325-4367
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
276198
NY
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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