Individual provider · Type 1 NPI

Clarence Frederique, LPN

Licensed Practical Nurse · Valley Stream, NY

NPI number 1487908745 Active

Practice location

13 Cleveland St
Valley Stream, NY 11580-6003

Call (516) 823-0739 Map

Mailing address

15 Church St
Great Neck, NY 11023-1126

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X311641 (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 1487908745

Clarence Frederique, LPN's National Provider Identifier is 1487908745, issued on Nov 7, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Valley Stream, NY. The record was last updated on Nov 7, 2012.