Individual
DELMY MARILY PALMA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5300
Mailing address
2 FRANKLIN ST, BRENTWOOD, NY 11717-1402
(631) 912-7092
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
331240
NY
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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