Individual
BENOIT VALCIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 PINERIDGE ST, MELVILLE, NY 11747-3024
(631) 393-2771
Mailing address
1 PINERIDGE ST, MELVILLE, NY 11747-3024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300271-1
NY
164W00000X
Licensed Practical Nurse
PN5176415
FL
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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