Provider Demographics
NPI:1437743499
Name:LANYS-MAIGNAN, CARLINE
Entity type:Individual
Prefix:
First Name:CARLINE
Middle Name:
Last Name:LANYS-MAIGNAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 E 21ST ST APT 3J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6896
Mailing Address - Country:US
Mailing Address - Phone:347-465-5390
Mailing Address - Fax:
Practice Address - Street 1:550 E 21ST ST APT 3J
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6896
Practice Address - Country:US
Practice Address - Phone:347-465-5390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-21
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)