Healthcare Provider Details

I. General information

NPI: 1023349826
Provider Name (Legal Business Name): MAUREEN HUGHES LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 CENTRAL PARK RD
PLAINVIEW NY
11803-2030
US

IV. Provider business mailing address

1652 BEECH ST
WANTAGH NY
11793-3454
US

V. Phone/Fax

Practice location:
  • Phone: 516-349-2860
  • Fax:
Mailing address:
  • Phone: 516-804-8503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number240271
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: