Individual provider · Type 1 NPI

Teodora Ibasitas Khan, LPN

Licensed Practical Nurse · Merrick, NY

NPI number 1629319553 Active

Practice location

2116 Merrick Ave Ste 2002
Merrick, NY 11566-3409

Call (516) 867-7042 Map

Fax (516) 379-0612

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X278717-1 (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 1629319553

Teodora Ibasitas Khan, LPN's National Provider Identifier is 1629319553, issued on Mar 1, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Merrick, NY. The record was last updated on Mar 1, 2013.