Pauline Super, LPN
NPI #1093090722 in East Islip, New York
Provider Information
- NPI Number
- 1093090722
- Entity Type
- Individual
- Name
- Pauline Super, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 13, 2011
- Last Updated
- Oct 13, 2011
Practice Location
- Address
- 110 ADELHAIDE LN
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-2232
- Phone
- (516) 322-2566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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