Darlene Beaucicot
Individual provider Active NPI Licensed Practical Nurse · Deer Park, NY
NPI 1114557683 · NPPES record last updated Jan 23, 2020
Key facts
- NPI
- 1114557683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 336634-01 (NY)
- Practice address
- 4 Mark LN
Deer Park, NY 11729-6411 - Phone
- (516) 451-1142
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336634-01 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 336634-01 | NY | Yes |
Addresses
Primary practice location
4 Mark LN
Deer Park, NY 11729-6411
Mailing address
4 Mark LN
Deer Park, NY 11729-6411
Other providers in Deer Park, NY
- Madeline Ferraro Barbarotto
- Bayside Pain Management PC
- Be Well Ny Acupuncture PLLC
- Gloria Sophia Bean
- Herlande Beaubrun
- Bee Bright Therapy, SLP, PLLC
- Bee Bright Therapy, SLP, PLLC
- Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC
- Belle Vie NC
- Geraldine Abonete Beltran
All providers in Deer Park, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.