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NPI Code Detail

MEDICARE: MS. LEONINE NICOLEAU LPN

MEDICARE:  MS. LEONINE  NICOLEAU  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 Nurse302974NY

General Provider Information

NPI Number : 1437450079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LEONINE NICOLEAU LPN
Provider Business Mailing Address
First Line : 10826 FLATLANDS 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4643
Country : US
Telephone Number : 917-651-6929
Fax Number :
Provider Business Practice Location Address
First Line : 10826 FLATLANDS 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4643
Country : US
Telephone Number : 917-651-6929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2010
Last Update Date : 11/13/2010

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Directions to “ MS. LEONINE NICOLEAU LPN” Practice Location

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