Niloal M Kijowski, LPN

Individual provider Active NPI Licensed Practical Nurse · Sodus, NY

NPI 1487138129 · NPPES record last updated Sep 19, 2018

Key facts

NPI
1487138129
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
326517 (NY)
Practice address
6692 Middle Rd Ste 2100
Sodus, NY 14551-9602
Phone
(315) 483-1199
NPI assigned
Sep 19, 2018
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

LicenseStateTypeSpecialty
326517NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326517 NY Yes

Addresses

Primary practice location

6692 Middle Rd Ste 2100
Sodus, NY 14551-9602

Mailing address

PO Box 423
Penn Yan, NY 14527-0423
Phone (315) 531-9102

Other providers in Sodus, NY

All providers in Sodus, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.