Healthcare Provider Details

I. General information

NPI: 1184161663
Provider Name (Legal Business Name): LINNETTE SUSAN NAPPI LICENSED PRACTICAL N
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 01/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PEEKER AVE
MASTIC BEACH NY
11951-1821
US

IV. Provider business mailing address

50 PEEKER AVE
MASTIC BEACH NY
11951-1821
US

V. Phone/Fax

Practice location:
  • Phone: 631-662-3872
  • Fax:
Mailing address:
  • Phone: 631-662-3872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number234272
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: