Most Relevant Information
Provider Data
| NPI Number: | 1003340969 |
| Provider Name: | LYS CLAUDIE PERARD |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 382679 |
Most Important Dates
| Enumeration Date: | 04/18/2017 |
| Last Updated: | 04/18/2017 |
Provider Practice Location
18540 JORDAN AVE
SAINT ALBANS
NY
114122306
Practice Location Phone/Fax
| Phone: | 7182083089 |
| Fax: |
Provider Mailing Location
18540 JORDAN AVE
SAINT ALBANS
NY
114122306
Provider Mailing Phone/Fax
| Phone: | 7182083089 |
| Fax: |