Viona Moril Abraham, LPN

Individual provider Active NPI Licensed Practical Nurse · Monticello, NY

NPI 1669715181 · NPPES record last updated Apr 3, 2013

Key facts

NPI
1669715181
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
7940982 (NY)
Practice address
26 Bushnell Ave
Monticello, NY 12701-1332
Phone
(845) 807-2546
NPI assigned
Apr 3, 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

State licenses

LicenseStateTypeSpecialty
7940982NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 7940982 NY Yes

Addresses

Primary practice location

26 Bushnell Ave
Monticello, NY 12701-1332

Mailing address

26 Bushnell Ave
Monticello, NY 12701-1332
Phone (845) 807-2546

Other providers in Monticello, NY

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

Sources for this page

Verify at the official NPI Registry.