Individual
MS. LYNORE VENOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MERRIMAN AVE, STATEN ISLAND, NY 10314-2430
(718) 727-3467
Mailing address
5 MERRIMAN AVE, STATEN ISLAND, NY 10314-2430
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22281906
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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