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NPI Code Detail

MEDICARE: MS. ANTOINETTE ANNMARIE NEIL-ROBINSON LPN

MEDICARE: MS. ANTOINETTE ANNMARIE NEIL-ROBINSON LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN5163981NY

General Provider Information

NPI Number : 1104070275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANTOINETTE ANNMARIE NEIL-ROBINSON LPN
Provider Business Mailing Address
First Line : 3208 ANCHOR DR
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-1602
Country : US
Telephone Number : 718-868-0918
Fax Number :
Provider Business Practice Location Address
First Line : 13 CLEVELAND ST
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-6003
Country : US
Telephone Number : 516-823-0739
Fax Number : 516-823-1550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2008
Last Update Date : 08/12/2013

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