Individual
LESNIDE THEMISTOCLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
74 LAW ST, VALLEY STREAM, NY 11580-1018
(516) 285-0318
Mailing address
74 LAW ST, VALLEY STREAM, NY 11580-1018
(516) 469-7825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
511484
NY
163WM0705X
Medical-Surgical Registered Nurse
Primary
511484
NY
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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