Khamattie Mahase
NPI #1093229403 in Central Islip, New York
Provider Information
- NPI Number
- 1093229403
- Entity Type
- Individual
- Name
- Khamattie Mahase
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Nov 21, 2017
- Last Updated
- Nov 21, 2017
Practice Location
- Address
- 149 ACORN AVE
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-3518
- Phone
- (718) 344-8037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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