Renee Vicsama, | |
150 W Eckerson Rd, Spring Valley, NY 10977-3527 | |
(845) 480-9195 | |
Not Available |
Full Name | Renee Vicsama |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 150 W Eckerson Rd, Spring Valley, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821736653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 343835 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Renee Vicsama, 150 W Eckerson Rd, Spring Valley, NY 10977-3527 Ph: () - | Renee Vicsama, 150 W Eckerson Rd, Spring Valley, NY 10977-3527 Ph: (845) 480-9195 |
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