Individual provider · Type 1 NPI

Thomas Geantasio

Licensed Practical Nurse · Port Jefferson Station, NY

NPI number 1467712307 Active

Practice location

1010 Route 112
Port Jefferson Station, NY 11776-3387

Call (631) 473-1200 Map

Mailing address

PO Box 246
Coram, NY 11727-0246

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X254018-1 (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 1467712307

Thomas Geantasio's National Provider Identifier is 1467712307, issued on May 25, 2012. 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 May 25, 2012.