person
Clarence Frederique, LPN
Licensed Practical Nurse in Valley Stream, New York
NPI 1487908745

Clarence Frederique is a Licensed Practical Nurse based in Great Neck, NY. Clarence Frederique practices in Valley Stream, NY and has the professional credentials of LPN. The NPI Number for Clarence Frederique is 1487908745 and holds a License No. 311641 (New York).

The current practice location address for Clarence Frederique is 13 Cleveland St, Valley Stream, NY and can be reached out via phone at 516-823-0739.

Location: 13 Cleveland St, Valley Stream, NY, 11023-1126
person
Provider Profile Details
NPI Number
1487908745
Provider Name
Clarence Frederique
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
13 Cleveland St, Valley Stream, NY, 11023-1126
Phone Number
516-823-0739
Fax Number
Provider Enumeration Date
11/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311641 01 NY LPN
institution
Provider Business Practice Location Address Details
Address
13 Cleveland St
City
State
Zip
11580-6003
Phone Number
516-823-0739
Fax Number
person
Provider Business Mailing Address Details
Address
13 Cleveland St
City
State
Zip
11580-6003
Phone Number
516-823-0739
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
311641 (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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