Individual
DONALD PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 MIRROR LN APT 6, MORICHES, NY 11955-2116
(631) 394-1896
Mailing address
16 MIRROR LN APT 6, MORICHES, NY 11955-2116
(631) 394-1896
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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