Individual
PAUL ANDRE LORISSAINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 680-7800
Mailing address
30 NOYES AVE, SPRING VALLEY, NY 10977-5739
(845) 426-0576
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
781463
NY
164W00000X
Licensed Practical Nurse
290264-1
NY
Other
Enumeration date
11/25/2007
Last updated
06/07/2024
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