Lpn
NPI #1255733978 in Mastic Beach, New York
Provider Information
- NPI Number
- 1255733978
- Entity Type
- Organization
- Organization Name
- Lpn
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Sep 24, 2014
- Last Updated
- Sep 24, 2014
Practice Location
- Address
- 15 LACROSSE RD
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-4901
- Phone
- (631) 729-6844
Authorized Official
- Name
- HEATHER ROSALIA
- Title
- LICENSED PRACTICAL NURSE
- Phone
- 16317296844
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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