Individual provider · Type 1 NPI
Ilene Rochelle Lennon, RPA-C
Surgical Physician Assistant · New Hyde Park, NY
NPI number
1376696260
Active
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1433
Fax (718) 343-3429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 23 011389 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1376696260
Ilene Rochelle Lennon, RPA-C's National Provider Identifier is 1376696260, issued on Jan 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Hyde Park, NY. The record was last updated on Apr 30, 2012.