is a Licensed Practical Nurse in New Rochelle, New York. practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for is 1669681987. The last update date is .
's current location address is 21 Circuit Rd, New Rochelle, New York. You can contact this provider via phone number 9148131315. The mailing address for is 21 Circuit Rd, New Rochelle, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 21 Circuit Rd, New Rochelle, New York |
| Phone Number | 9148131315 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669681987 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 21 Circuit Rd |
|---|---|
| City | New Rochelle |
| State | New York (NY) |
| Post Code | 108051933 |
| Phone Number | 9148131315 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 095456-1 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2810213 | NY | -- |
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