Mireille Gracia Lafosse

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304220-1 Issued in NY

Practice address

378 Syosset Woodbury Rd
Woodbury, NY 11797-1200

Phone

(516) 921-3900

NPI assigned

Dec 4, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1356716120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 STEWART AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501840",
            "telephone_number": "516-643-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 SYOSSET WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971200",
            "telephone_number": "516-921-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOSSE",
        "first_name": "MIREILLE",
        "middle_name": "GRACIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Allen Kwartner, OPTICIAN
• Beth Labelson, MA RD CDN
• Marena Medhat Labib
• Laboratory of Dermatopathology Adx, LLC
• Evelyne Lacombe, LPN
• Shamim A Lalani, FNP
• Janice C. Lamm, D.C., L.AC.
• Bonnie B Lasinski, PT
• Lawrence J. Maltin, M.D.,P.C.
• Michael Lazar, D.D.S.

• Licensed Practical Nurse in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.