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Ms. Aida Carmen Licata, LPN
Licensed Practical Nurse in Centereach, New York
NPI 1194962464

Aida Carmen Licata is a Licensed Practical Nurse based in Centereach, NY. Aida Carmen Licata practices in Centereach, NY and has the professional credentials of LPN. The NPI Number for Aida Carmen Licata is 1194962464 and holds a License No. 266529-1 (New York).

The current practice location address for Aida Carmen Licata is 33 N Washington Ave, Centereach, NY and can be reached out via phone at 631-880-0416.

Location: 33 N Washington Ave, Centereach, NY, 11720-2132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194962464
Provider Name
Aida Carmen Licata
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
33 N Washington Ave, Centereach, NY, 11720-2132
Phone Number
631-880-0416
Fax Number
Provider Enumeration Date
01/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558550798 05 NY
institution
Provider Business Practice Location Address Details
Address
33 N Washington Ave
City
Centereach
State
New York
Zip
11720-2132
Phone Number
631-880-0416
Fax Number
person
Provider Business Mailing Address Details
Address
33 N Washington Ave
City
Centereach
State
New York
Zip
11720-2132
Phone Number
631-880-0416
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
266529-1 (New York)
Definition
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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