Individual provider · Type 1 NPI

Desiree Calvacca

Licensed Practical Nurse · Mastic, NY

NPI number 1275958241 Active

Practice location

78 Shinnecock Ave
Mastic, NY 11950-4232

Call (631) 574-7581 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X310072 (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 1275958241

Desiree Calvacca's National Provider Identifier is 1275958241, issued on Feb 26, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mastic, NY. The record was last updated on Feb 26, 2014.