Individual
LUCY MENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7300
Mailing address
106 BODEN AVE, VALLEY STREAM, NY 11580-5145
(516) 668-3607
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306414-1
NY
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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