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Individual

FABIOLA LECONTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 BROADWAY AVE, SAYVILLE, NY 11782-1628
(631) 567-9300
Mailing address
100 LITTLE EAST NECK RD, WYANDANCH, NY 11798-4203
(631) 445-3406

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217321
TX

Other

Enumeration date
11/21/2017
Last updated
01/30/2025
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