About Edjeanine Boucicault
She is located at 153 Lake Shore Rd, , in Lake Ronkonkoma, NY 11779. Appointment can be made via the phone number (631) 522-6876.
Edjeanine Boucicault - Address, Phone & Website
153 Lake Shore Rd, , Lake Ronkonkoma, NY 11779
(631) 522-6876
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Licensed Practical Nurse | 164W00000X |
Licenses
| State | License Number |
|---|---|
| New York | 332414-1 |