Lio Abrakhimora, REGISTERED NURSE RN

Individual provider Active NPI Medical-Surgical Registered Nurse · Hicksville, NY

NPI 1013451806 · NPPES record last updated Dec 27, 2016

Key facts

NPI
1013451806
Entity type
Individual (NPI type 1)
Primary specialty
Medical-Surgical Registered Nurse 163WM0705X
License
453406-1 (NY)
Practice address
20 Jerusalem Avenue
3Rd Floor
Hicksville, NY 11801
Phone
(516) 326-2020
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
453406-1NYMDMedical-Surgical Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 453406-1 NY
Medical-Surgical Registered Nurse 163WM0705X 453406-1 NY Yes

Addresses

Primary practice location

20 Jerusalem Avenue
3Rd Floor
Hicksville, NY 11801

Mailing address

20 Jerusalem Avenue
3Rd Floor
Hicksville, NY 11801

Other providers in Hicksville, NY

All providers in Hicksville, NY · Medical-Surgical Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.