Individual
ISEMANIE LIMAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 E MAIN ST APT Z2, BAY SHORE, NY 11706-8531
(561) 350-8473
Mailing address
417 E MAIN ST APT Z2, BAY SHORE, NY 11706-8531
(561) 350-8473
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2956201
NY
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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