Pierre L Licin
NPI #1841443710 in North Babylon, New York
Provider Information
- NPI Number
- 1841443710
- Entity Type
- Individual
- Name
- Pierre L Licin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 23, 2008
- Last Updated
- Oct 23, 2008
Practice Location
- Address
- 15 EDDIE AVE
- City
- North Babylon
- State
- New York
- ZIP Code
- 11703-2712
- Phone
- (631) 586-2865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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