Madeline Avila
Individual provider Active NPI Licensed Practical Nurse · Roosevelt, NY
NPI 1295869451 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295869451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 278804-01 (NY)
- Practice address
- 380 Washington Ave
Roosevelt, NY 11575-1845 - Phone
- (516) 378-2000
- NPI assigned
- Mar 16, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278804-01 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 278804-01 | NY | Yes |
Addresses
Primary practice location
380 Washington Ave
Roosevelt, NY 11575-1845
Mailing address
380 Washington Ave
Roosevelt, NY 11575-1845
Phone (516) 378-2000
Other providers in Roosevelt, NY
- Kim Angelone
- Angela Ankobiah
- Dawn Marlene Anthony
- Lauren Marian Arnone
- Alexandra Arroyo
- Sonia Pauline Baker
- Charity Barao
- Jyoti Bariana
- Gem Magdalen Barton
- Perlita Basilio
All providers in Roosevelt, 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 Jul 8, 2007. 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.