Healthcare Provider Details

I. General information

NPI: 1134046600
Provider Name (Legal Business Name): MADELYNE BELLE HOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 APPEL DR E
SHIRLEY NY
11967-3635
US

IV. Provider business mailing address

30 APPEL DR E
SHIRLEY NY
11967-3635
US

V. Phone/Fax

Practice location:
  • Phone: 631-644-1964
  • Fax: 631-644-1964
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number345343
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: