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NPI Code Detail

MEDICARE: CANDICE WRIGHT

MEDICARE: CANDICE WRIGHT
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 Nurse356478NY

General Provider Information

NPI Number : 1477498491
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE WRIGHT
Provider Business Mailing Address
First Line : 38 STEPHEN PL
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-2524
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1115 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5019
Country : US
Telephone Number : 718-717-8337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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