Immacula Stgermain, | |
25 S Tyson Ave, Floral Park, NY 11001-2018 | |
(516) 358-1004 | |
Not Available |
Full Name | Immacula Stgermain |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 25 S Tyson Ave, Floral Park, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679826127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 269555-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Immacula Stgermain, 25 S Tyson Ave, Floral Park, NY 11001-2018 Ph: (516) 358-1004 | Immacula Stgermain, 25 S Tyson Ave, Floral Park, NY 11001-2018 Ph: (516) 358-1004 |
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