Individual provider · Type 1 NPI

Jean Marcel Petit Homme

Licensed Practical Nurse · Rego Park, NY

NPI number 1609104116 Active

Practice location

9715 64th Rd
Rego Park, NY 11374-2250

Call (718) 459-5592 Map

Fax (718) 459-6047

Mailing address

28 Argyle Rd, APT.D1
Brooklyn, NY 11218-2951

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X296889 (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 1609104116

Jean Marcel Petit Homme's National Provider Identifier is 1609104116, issued on Nov 20, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rego Park, NY. The record was last updated on Nov 20, 2009.