Individual provider · Type 1 NPI

Amanda Erazo

Licensed Practical Nurse · Fresh Meadows, NY

NPI number 1063279586 Active

Practice location

6582 160th St
Fresh Meadows, NY 11365-2562

Call (646) 709-6645 Map

Mailing address

265 Broadhollow Rd Ste Melville
Melville, NY 11747-4833

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	341713 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1063279586

Amanda Erazo's National Provider Identifier is 1063279586, issued on Mar 1, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Mar 1, 2024.