Individual provider · Type 1 NPI

Khamattie Mahase

Licensed Practical Nurse · Central Islip, NY

NPI number 1093229403 Active

Practice location

149 Acorn Ave
Central Islip, NY 11722-3518

Call (718) 344-8037 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X9713354 (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 1093229403

Khamattie Mahase's National Provider Identifier is 1093229403, issued on Nov 21, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Central Islip, NY. The record was last updated on Nov 21, 2017.