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Amanda Jessica Candiloro, LPN
Licensed Practical Nurse in Medford, New York
NPI 1790200244

Amanda Jessica Candiloro is a Licensed Practical Nurse based in Medford, NY. Amanda Jessica Candiloro practices in Medford, NY and has the professional credentials of LPN. The NPI Number for Amanda Jessica Candiloro is 1790200244 and holds a License No. 320196 (New York).

The current practice location address for Amanda Jessica Candiloro is 121 Oak St, Medford, NY and can be reached out via phone at 631-504-2173.

Location: 121 Oak St, Medford, NY, 11763-4093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790200244
Provider Name
Amanda Jessica Candiloro
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
121 Oak St, Medford, NY, 11763-4093
Phone Number
631-504-2173
Fax Number
Provider Enumeration Date
08/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
320196 01 NY THE STATE EDUCATION DEPARTMENT
institution
Provider Business Practice Location Address Details
Address
121 Oak St
City
Medford
State
New York
Zip
11763-4093
Phone Number
631-504-2173
Fax Number
person
Provider Business Mailing Address Details
Address
121 Oak St
City
Medford
State
New York
Zip
11763-4093
Phone Number
631-504-2173
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
320196 (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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