Individual provider · Type 1 NPI

Prunella Cynthia Dickerson

Licensed Practical Nurse · Brooklyn, NY

NPI number 1407177546 Active

Practice location

2505 Tilden Ave Ste 101
Brooklyn, NY 11226-5015

Call (718) 941-4490 Map

Fax (718) 703-1716

Mailing address

12725 102nd Ave
South Richmond Hill, NY 11419-2205

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X184863 (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 1407177546

Prunella Cynthia Dickerson's National Provider Identifier is 1407177546, issued on Jun 11, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 17, 2012.