Individual
MS. LUCRITIA ROBINSON PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
277 STEWARTS CORNERS RD, PENNELLVILLE, NY 13132-3290
(315) 695-3798
Mailing address
277 STEWARTS CORNERS RD, PENNELLVILLE, NY 13132-3290
(315) 695-3798
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
278292-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02704878
—
NY
Enumeration date
01/12/2007
Last updated
07/09/2007
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