Deborah Rose Cincotta, LPN

Individual provider Active NPI Licensed Practical Nurse · Selden, NY

NPI 1932575602 · NPPES record last updated Aug 18, 2015

Key facts

NPI
1932575602
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
311915-1 (NY)
Practice address
47 Adirondack Dr
Selden, NY 11784-3201
Phone
(631) 357-0882
NPI assigned
Aug 18, 2015
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
311915-1NYMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 311915-1 NY Yes

Addresses

Primary practice location

47 Adirondack Dr
Selden, NY 11784-3201

Mailing address

47 Adirondack Dr
Selden, NY 11784-3201
Phone (631) 357-0882

Other providers in Selden, NY

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

Sources for this page

Verify at the official NPI Registry.