Individual provider · Type 1 NPI

Koren C. Arevalo

Licensed Practical Nurse · Centereach, NY

NPI number 1093646903 Active

Practice location

23 Williams St
Centereach, NY 11720-4016

Call (631) 338-1338 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X243493-01 (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 1093646903

Koren C. Arevalo's National Provider Identifier is 1093646903, issued on May 28, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Centereach, NY. The record was last updated on May 28, 2026.