Individual
MISS CHARLENE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
100 NICOLLS RD # LEVEL5, STONY BROOK, NY 11794-8111
(631) 444-7653
(631) 444-8968
Mailing address
PO BOX 1559, STONY BROOK, NY 11790
(631) 444-7653
(631) 444-8968
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
350358
NY
Other
Enumeration date
11/10/2013
Last updated
01/03/2014
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