New York Lice Treatment, LLC

NPI #1962942490 in Ridgefield, Connecticut

Provider Information

NPI Number
1962942490
Entity Type
Organization
Organization Name
New York Lice Treatment, LLC
Primary Specialty
Technician, Other
Enumeration Date
Mar 2, 2017
Last Updated
Mar 2, 2017

Practice Location

Address
40 S OLMSTEAD LN
ZIP Code
06877-5529
Phone
(203) 948-3327

Authorized Official

Name
GREGORY H EISEN
Title
MGR
Phone
(203) 948-3327

Specialties & Taxonomy Codes

Specialty
Technician, Other

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