Individual
MRS. BEVERLY ANN LEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 VERNON AVE, EAST NORWICH, NY 11732-1409
(516) 624-7635
Mailing address
15 VERNON AVE, EAST NORWICH, NY 11732-1409
(516) 624-7635
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
470592-1
NY
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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