Individual provider · Type 1 NPI

Mary Iannotta, LPN

Licensed Practical Nurse · Patchogue, NY

NPI number 1629616065 Active

Practice location

525 S Ocean Ave
Patchogue, NY 11772-3727

Call (631) 786-8273 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X337251 (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 1629616065

Mary Iannotta, LPN's National Provider Identifier is 1629616065, issued on Dec 17, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Patchogue, NY. The record was last updated on Dec 17, 2019.