Individual
LAURA LEE DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8532
Mailing address
PO BOX 455, BABYLON, NY 11702-0455
(718) 963-8532
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F420436
NY
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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