Philaine Beauge, CNA

Individual provider Active NPI Nurse's Aide · Uniondale, NY

NPI 1386989846 · NPPES record last updated Dec 10, 2012

Key facts

NPI
1386989846
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
343196341211E (NY)
Practice address
574 Macon PL
Uniondale, NY 11553-2829
Phone
(516) 279-5404
NPI assigned
Dec 10, 2012
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

LicenseStateTypeSpecialty
343196341211ENYMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 343196341211E NY Yes

Addresses

Primary practice location

574 Macon PL
Uniondale, NY 11553-2829

Mailing address

574 Macon PL
Uniondale, NY 11553-2829
Phone (516) 279-5404

Other providers in Uniondale, NY

All providers in Uniondale, NY · Nurse's Aide in New York

Sources for this page

Verify at the official NPI Registry.