Individual
MR. LISLE DUPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2832
(718) 206-6000
Mailing address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2832
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309851
NY
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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