Lissa Boileau

NPI # 

Practice Address:

2 The Plz

Ronkonkoma, NY, 11779-5849

Practice Phone:

631-676-2765

License Number:

22609284

License State:

NY

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Registered Nurse

Taxonomy Code:

163W00000X

Updated by NPPES on 2/6/2025. You can view the original data set for NPI # 1174840367 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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