Individual
AKIVA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 E PULASKI RD APT 20D, HUNTINGTON STATION, NY 11746-1966
(631) 609-1124
Mailing address
152 E PULASKI RD APT 20D, HUNTINGTON STATION, NY 11746-1966
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313693-1
NY
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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