Individual provider · Type 1 NPI

Seblewengal Sirage

Licensed Practical Nurse · Great Neck, NY

NPI number 1144565854 Active

Practice location

11 Schenck Ave Apt 3C
Great Neck, NY 11021-3606

Call (562) 213-8575 Map

Mailing address

11 Schenck Ave Apt # 3C
Great Neck, NY 11021

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X32612-1 (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 1144565854

Seblewengal Sirage's National Provider Identifier is 1144565854, issued on Dec 6, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Great Neck, NY. The record was last updated on Sep 10, 2017.