Individual
LILANDE BEAUSOLEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 EDMUND PELLEGRINO RD, STONY BROOK, NY 11794-3816
(631) 444-1060
(631) 444-1530
Mailing address
3 EDMUND PELLEGRINO RD, STONY BROOK, NY 11794-1008
(631) 444-1060
(631) 444-1530
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304051
NY
Other
Enumeration date
03/23/2007
Last updated
08/08/2024
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