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Mrs. Nicole Rose Buccellato, LPN
Licensed Practical Nurse in North Merrick, New York
NPI 1699295014

Nicole Rose Buccellato is a Licensed Practical Nurse based in North Merrick, NY. Nicole Rose Buccellato practices in North Merrick, NY and has the professional credentials of LPN. The NPI Number for Nicole Rose Buccellato is 1699295014 and holds a License No. 305382 (New York).

The current practice location address for Nicole Rose Buccellato is 1505 Jerusalem Ave, North Merrick, NY and can be reached out via phone at 516-280-7502.

Location: 1505 Jerusalem Ave, North Merrick, NY, 11566-1330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699295014
Provider Name
Nicole Rose Buccellato
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1505 Jerusalem Ave, North Merrick, NY, 11566-1330
Phone Number
516-280-7502
Fax Number
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
305382 01 NY NEW YORK STATE
institution
Provider Business Practice Location Address Details
Address
1505 Jerusalem Ave
City
North Merrick
State
New York
Zip
11566-1330
Phone Number
516-280-7502
Fax Number
person
Provider Business Mailing Address Details
Address
1505 Jerusalem Ave
City
North Merrick
State
New York
Zip
11566-1330
Phone Number
516-280-7502
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
305382 (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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