SearchNew York374J00000X

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NPI 1700736048 · on the registry since 2026 · sole proprietor

Practice

Address
8 Lionel Psge
Monroe, NY 10950
Phone
(845) 248-9100

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York