Al. Paul, LPN
Individual provider Active NPI Licensed Practical Nurse · Richmond Hills, NY
NPI 1770845604 · NPPES record last updated Jun 15, 2012
Key facts
- NPI
- 1770845604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 233033 (NY)
- Practice address
- 130-20 89TH Rd
Richmond Hills, NY 11418 - Phone
- (718) 441-8913
- Fax
- (718) 846-9064
- NPI assigned
- Jun 15, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233033 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 233033 | NY | Yes |
Addresses
Primary practice location
130-20 89TH Rd
Richmond Hills, NY 11418
Mailing address
447 Clarendon Rd
Uniondale, NY 11553-2105
Phone (516) 860-7901
Other providers in Richmond Hills, NY
All providers in Richmond Hills, 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 Jun 15, 2012. 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.