Individual provider · Type 1 NPI

Carl Robertson

Licensed Practical Nurse · Rosedale, NY

NPI number 1124724067 Active

Practice location

13936 254th St
Rosedale, NY 11422-2616

Mailing address

89 Bartlett St
Brooklyn, NY 11206-4463

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X329641 (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 1124724067

Carl Robertson's National Provider Identifier is 1124724067, issued on Feb 2, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rosedale, NY. The record was last updated on Feb 2, 2023.