Individual provider · Type 1 NPI

Fedjah Laraque

Licensed Practical Nurse · Lynbrook, NY

NPI number 1225662919 Active

Practice location

200 Atlantic Ave Ste 1
Lynbrook, NY 11563-3549

Call (516) 807-5384 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X337966 (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 1225662919

Fedjah Laraque's National Provider Identifier is 1225662919, issued on Mar 3, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lynbrook, NY. The record was last updated on Mar 3, 2020.