JUSTINE DELISE
Medical Practice at Coventry Ln, Smithtown, NY

License number
New York 008506-1
Category
Medical Practice
Type
Specialist
Address
Address
8 Coventry Ln, Smithtown, NY 11787
Phone
(631) 834-0663
National Provider ID: 1467858084
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JUSTINE DELISE at bizstanding.com

JUSTINE DELISE OT PC

8 Coventry Ln, Smithtown, NY 11787

Registration:
Sep 9, 2014
State ID:
4633570
Business type:
DOMESTIC PROFESSIONAL CORPORATION

Medical Practice licenses in New York