Elizabeth A Honold, LPN

Individual provider Active NPI Licensed Practical Nurse · Shoreham, NY

NPI 1649607367 · NPPES record last updated Sep 27, 2013

Key facts

NPI
1649607367
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
315918 (NY)
Practice address
28 Miller Ave
Shoreham, NY 11786-1835
Phone
(631) 744-2535
NPI assigned
Sep 27, 2013
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 315918 NY Yes

Addresses

Primary practice location

28 Miller Ave
Shoreham, NY 11786-1835

Mailing address

28 Miller Ave
Shoreham, NY 11786-1835
Phone (631) 744-2535

Other providers in Shoreham, NY

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

Sources for this page

Verify at the official NPI Registry.