Individual
MRS. AUDREY NOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5789
Mailing address
11 SEAFORD RD, SOUND BEACH, NY 11789-2123
(561) 531-3888
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
143220-1
NY
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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