Individual
MRS. BERTHA DESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
684 GARFIELD RD, NORTH BALDWIN, NY 11510-1005
(516) 425-5187
Mailing address
684 GARFIELD RD, NORTH BALDWIN, NY 11510-1005
(516) 425-5187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303513-1
NY
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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