Stephan Jean-Claude
Individual provider Active NPI Licensed Practical Nurse · Kings, NY
NPI 1467098871 · NPPES record last updated Nov 20, 2019
Key facts
- NPI
- 1467098871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 305311 (NY)
- Practice address
- 853 Est 52ND St.
Kings, NY 11234 - Phone
- (718) 828-2666
- NPI assigned
- Nov 20, 2019
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 305311 | NY | Yes |
Addresses
Primary practice location
853 Est 52ND St.
Kings, NY 11234
Mailing address
853 Est 52ND St.
Kings, NY 11234
Other providers in Kings, NY
All providers in Kings, 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 Nov 20, 2019. 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.