Individual
MRS. DEBORAH ANN LAMENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, BC, CWCN
Contact information
Practice address
5225 NESCONSET HWY STE 53, BLDG. 12, PORT JEFFERSON STATION, NY 11776-2061
(631) 474-4590
(631) 474-4594
Mailing address
2270 PINE AVE, RONKONKOMA, NY 11779-6546
(631) 585-4531
(631) 474-4594
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300583-1
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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