Individual provider · Type 1 NPI

Martine Bazelais

Licensed Practical Nurse · Rego Park, NY

NPI number 1861627606 Active

Practice location

9715 64th Rd
Rego Park, NY 11374-2250

Call (718) 459-5592 Map

Fax (718) 459-6047

Mailing address

8612 Avenue N, 1st Floor
Brooklyn, NY 11236-5114

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X255713 (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 1861627606

Martine Bazelais's National Provider Identifier is 1861627606, issued on May 22, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rego Park, NY. The record was last updated on May 22, 2009.