Individual
ASIAH LUCINDA HEYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SOMERSET RD N, AMITYVILLE, NY 11701-2019
(631) 438-9318
Mailing address
11 SOMERSET RD N, AMITYVILLE, NY 11701-2019
(631) 438-9318
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323573
NY
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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