Individual
AINESSE DESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20509 HOLLIS AVE, SAINT ALBANS, NY 11412-1417
(347) 659-8939
Mailing address
PO BOX 228, BAYSIDE, NY 11361-0228
(347) 659-8939
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341609360401E
NY
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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