Individual
CONSTANCE RENEE PIETRUNTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
42 PIAVE AVE, STATEN ISLAND, NY 10305-4434
(929) 603-7716
Mailing address
42 PIAVE AVE, STATEN ISLAND, NY 10305-4434
(929) 603-7716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
271204
NY
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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