Individual provider · Type 1 NPI

Aida Carmen Licata, LPN

Licensed Practical Nurse · Centereach, NY

NPI number 1194962464 Active

Practice location

33 N Washington Ave
Centereach, NY 11720-2132

Call (631) 880-0416 Map

Mailing address

33 N. Washington Ave
Centereach, NY 11720-2132

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X266529-1 (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 1194962464

Aida Carmen Licata, LPN's National Provider Identifier is 1194962464, issued on Jan 8, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Centereach, NY. The record was last updated on Jan 8, 2009.