Nicole Ashley Lennon

NPI #1932600244 in Plainview, New York

Provider Information

NPI Number: 1932600244
Entity Type: Individual
Name: Nicole Ashley Lennon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 22, 2018
Last Updated: Aug 21, 2018

Practice Location

Address: 255 EXECUTIVE DR STE LL105
City: Plainview
State: New York
ZIP Code: 11803
Phone: (516) 576-0962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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