Joseph William Boccio, LPN
Individual provider Active NPI Licensed Practical Nurse · Centereach, NY
NPI 1245583202 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1245583202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 311226 (NY)
- Practice address
- 130 S Coleman Rd
Centereach, NY 11720-4410 - Phone
- (631) 559-2112
- Fax
- (631) 471-4487
- NPI assigned
- Oct 16, 2012
- Sex
- Male
- 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 |
|---|---|---|---|
| 311226 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 311226 | NY | Yes |
Addresses
Primary practice location
130 S Coleman Rd
Centereach, NY 11720-4410
Mailing address
130 S Coleman Rd
Centereach, NY 11720-4410
Phone (631) 559-2112
Other providers in Centereach, NY
- Carolyn D Berg-O'Neill
- Robyn Jennifer Berkowitz
- Melanie Ann Bernocco
- Dolores Isabel Binstock
- Valentina Blaine
- Gregory Charles Bohle
- Christa Rebecca Bordeaux
- Gianna Boscarino
- Gina Marie Bosco
- Melissa T. Bossert
All providers in Centereach, 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 Oct 16, 2012. 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.