Individual
MISS LECIA ANDRIA MCFARLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 N CLINTON AVE, BAY SHORE, NY 11706-4052
(631) 968-2494
Mailing address
1419 N CLINTON AVE, BAY SHORE, NY 11706-4052
(631) 968-2492
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
293220-1
NY
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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