Individual provider · Type 1 NPI

Rosy Fatakhov

Licensed Practical Nurse · Rego Park, NY

NPI number 1225326226 Active

Practice location

9715 64th Rd
Rego Park, NY 11374-2250

Call (718) 459-5592 Map

Mailing address

9805 67th Ave, Apt 4H
Rego Park, NY 11374-4969

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X304160 (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 1225326226

Rosy Fatakhov's National Provider Identifier is 1225326226, issued on Jul 12, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rego Park, NY. The record was last updated on Jul 12, 2011.