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Denise Monica Wing, LPN

Licensed Practical Nurse in Ronkonkoma, NY. Individual provider (NPI-1).

NPI number1699345397
StatusActive
Last updated in NPPESJun 26, 2021

Details

NPI
1699345397
Entity type
Individual (NPI-1)
Name
Denise Monica Wing
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 25, 2021
Certification date
Jun 26, 2021
Last updated
Jun 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse338784-01NYYes

Practice location

395 Central Islip Blvd
Ronkonkoma, NY 11779-3908

Phone 631-379-8249

Mailing address

395 Central Islip Blvd
Ronkonkoma, NY 11779-3908

Phone 631-379-8249

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