Individual provider · Type 1 NPI

Dalas Taddeo, LPN

Licensed Practical Nurse · Ronkonkoma, NY

NPI number 1598295271 Active

Practice location

4490 Express Drive S
Ronkonkoma, NY 11779

Call (718) 578-9719 Map

Mailing address

4490 Express Dr S
Ronkonkoma, NY 11779-5532

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	231514-1 (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 1598295271

Dalas Taddeo, LPN's National Provider Identifier is 1598295271, issued on Jun 15, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Jul 21, 2022.