Awixa Home of Li, INC

NPI #1154789683 in Bay Shore, New York

Provider Information

NPI Number
1154789683
Entity Type
Organization
Organization Name
Awixa Home of Li, INC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jan 28, 2016
Last Updated
Jan 28, 2016

Practice Location

Address
199 BENTON PL
ZIP Code
11706-1507
Phone
(516) 882-9492

Authorized Official

Name
MRS. ALYSE ROBIN CARDELLO
Title
CEO
Phone
(516) 882-9492

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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