Pierre L Licin

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1841443710

Pierre L Licin is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Babylon, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in: NY
In the registry since: 2008

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Practice location Address checks out

15 Eddie Ave
North Babylon, NY 11703-2712
Phone: (631) 586-2865

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Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X · Licence 004355 (NY)

Record details

NPI number	1841443710
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	October 23, 2008
Last updated in NPPES	October 23, 2008