Nicholas Martin Pascullo, LPN
NPI #1629590617 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1629590617
- Entity Type
- Individual
- Name
- Nicholas Martin Pascullo, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jul 11, 2017
- Last Updated
- Jul 11, 2017
Practice Location
- Address
- 153 LAKE SHORE RD
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-3157
- Phone
- (631) 471-5666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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