is a Licensed Practical Nurse in Jamaica, New York. practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for is 1376753806. The last update date is .
's current location address is 17012 130th Ave, Jamaica, New York. You can contact this provider via phone number 9179416218. The mailing address for is 17012 130th Ave, Jamaica, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 17012 130th Ave, Jamaica, New York |
Phone Number | 9179416218 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1376753806 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 17012 130th Ave |
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City | Jamaica |
State | New York (NY) |
Post Code | 114343255 |
Phone Number | 9179416218 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Practical Nurse |
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Taxonomy | 164W00000X |
Licence No | 253255 |
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2500943 | NY | -- |
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