Individual provider · Type 1 NPI

Sopheya Luckoo

Licensed Practical Nurse · Port Jefferson Station, NY

NPI number 1134494693 Active

Practice location

1010 Route 112
Port Jefferson Station, NY 11776-3387

Call (631) 473-1200 Map

Mailing address

219 Evergreen Ave
Central Islip, NY 11722-1938

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X302384 (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 1134494693

Sopheya Luckoo's National Provider Identifier is 1134494693, issued on Mar 16, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 16, 2012.