Individual provider · Type 1 NPI

Elena Ricciardi I, LPN

Licensed Practical Nurse · Port Jefferson Station, NY

NPI number 1609205574 Active

Practice location

4 Cottonwood Ave
Port Jefferson Station, NY 11776-3111

Call (631) 828-5923 Map

Fax (631) 828-5923

Mailing address

4 Cottonwood Ave.
Port Jefferson Station, NY 11776

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X268598-1 (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 1609205574

Elena Ricciardi I, LPN's National Provider Identifier is 1609205574, issued on Nov 1, 2013. 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 Nov 1, 2013.