Nicola Andrea Bennett
Individual provider Active NPI Licensed Practical Nurse · Farmingdale, NY
NPI 1831725514 · NPPES record last updated Mar 13, 2020
Key facts
- NPI
- 1831725514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 324575-1 (NY)
- Practice address
- 24 Roberts St
Farmingdale, NY 11735-5042 - Phone
- (516) 293-0051
- NPI assigned
- Mar 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 324575-1 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone in Home Care Inc | Past |
Accepting new patients | |
| Milestones in Home Care,Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 324575-1 | NY | Yes |
Addresses
Primary practice location
24 Roberts St
Farmingdale, NY 11735-5042
Mailing address
24 Roberts St
Farmingdale, NY 11735-5042
Phone (516) 293-0051
Other providers in Farmingdale, NY
- Christiana Belisaire
- Belix Belizaire
- Barbara Bellas
- Virginia Bello-Sejour
- Gina Benci
- Emily Berg
- Jennifer Bergstein
- Beau Bernis
- Alan Joseph Berotti
- Jay H Berry
All providers in Farmingdale, 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 Mar 13, 2020. 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.