Irene Teresa Sawoch
Individual provider Active NPI Licensed Practical Nurse · Jamacia, NY
NPI 1437579950 · NPPES record last updated Apr 23, 2014
Key facts
- NPI
- 1437579950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 205651 (NY)
- Practice address
- 169-37 44TH Road
Jamacia, NY 11434 - Phone
- (718) 978-7221
- NPI assigned
- Apr 23, 2014
- 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 |
|---|---|---|---|
| 205651 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 205651 | NY | Yes |
Addresses
Primary practice location
169-37 44TH Road
Jamacia, NY 11434
Mailing address
28 Gaffney St
Glen Cove, NY 11542-4228
Phone (516) 330-1991
Other providers in Jamacia, NY
All providers in Jamacia, 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 Apr 23, 2014. 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.