Search › New York › 163W00000X
Lancia Dezalon
NPI 1720624505 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3 Freemont Ln
Coram, NY 11727 - Phone
- (631) 538-7295
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-18
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