Individual provider · Type 1 NPI
Erik Donald Zydor, LPN
Licensed Practical Nurse · Port Jefferson Station, NY
NPI number
1205508587
Active
Practice location
1 Birchwood Dr
Port Jefferson Station, NY 11776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 317419 (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 1205508587
Erik Donald Zydor, LPN's National Provider Identifier is 1205508587, issued on Oct 4, 2021. 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 Oct 4, 2021.