person
Michael Andre Bacchus, LPN
Licensed Practical Nurse in Coram, New York
NPI 1760885263

Michael Andre Bacchus is a Licensed Practical Nurse based in Coram, NY. Michael Andre Bacchus practices in Coram, NY and has the professional credentials of LPN. The NPI Number for Michael Andre Bacchus is 1760885263 and holds a License No. 292701-1 (New York).

The current practice location address for Michael Andre Bacchus is 31 Gaetano Ln, Coram, NY and can be reached out via phone at 631-624-8348.

Location: 31 Gaetano Ln, Coram, NY, 11727-2343
person
Provider Profile Details
NPI Number
1760885263
Provider Name
Michael Andre Bacchus
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
31 Gaetano Ln, Coram, NY, 11727-2343
Phone Number
631-624-8348
Fax Number
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31 Gaetano Ln
City
State
Zip
11727
Phone Number
631-624-8348
Fax Number
person
Provider Business Mailing Address Details
Address
31 Gaetano Ln
City
State
Zip
11727
Phone Number
631-624-8348
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
292701-1 (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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