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
ZIP Code
11703-2712
Phone
(631) 586-2865

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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