Individual provider · Type 1 NPI
Michael Andre Bacchus, LPN
Licensed Practical Nurse · Coram, NY
NPI number
1760885263
Active
Practice location
31 Gaetano Ln
Coram, NY 11727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 292701-1 (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.
Another provider at this address
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About NPI 1760885263
Michael Andre Bacchus, LPN's National Provider Identifier is 1760885263, issued on Sep 29, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Coram, NY. The record was last updated on Sep 29, 2014.