Individual provider · Type 1 NPI

Alyssa Marie De Gennaro, LPN

Licensed Practical Nurse · Mastic, NY

NPI number 1942509294 Active

Practice location

103 Madison St
Mastic, NY 11950-3901

Call (631) 682-9504 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X304428-1 (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 1942509294

Alyssa Marie De Gennaro, LPN's National Provider Identifier is 1942509294, issued on Mar 24, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mastic, NY. The record was last updated on Mar 24, 2011.