Individual
ADAMA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 WISTERIA CIR, BELLPORT, NY 11713-3047
(631) 831-8292
Mailing address
1750 WISTERIA CIR, BELLPORT, NY 11713-3047
(631) 831-8292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293816
NY
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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