Individual provider · Type 1 NPI

Elines G. Black

Licensed Practical Nurse · Deer Park, NY

NPI number 1649086398 Active

Practice location

209 Sammis Ave
Deer Park, NY 11729-6814

Call (631) 943-4464 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X351305 (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 1649086398

Elines G. Black's National Provider Identifier is 1649086398, issued on Dec 7, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Deer Park, NY. The record was last updated on Dec 7, 2024.