Individual
MS. DANY MOMBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
69 DECATUR ST, ROOSEVELT, NY 11575-2307
(516) 532-0498
Mailing address
69 DECATUR ST, ROOSEVELT, NY 11575-2307
(516) 532-0498
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294146
NY
Other
Enumeration date
07/22/2009
Last updated
09/27/2010
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