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Michael Kenneth Tax, LPN
Licensed Practical Nurse in Port Jefferson, New York
NPI 1790244317

Michael Kenneth Tax is a Licensed Practical Nurse based in Holbrook, NY. Michael Kenneth Tax practices in Port Jefferson, NY and has the professional credentials of LPN. The NPI Number for Michael Kenneth Tax is 1790244317 and holds a License No. 262016-1 (New York).

The current practice location address for Michael Kenneth Tax is 125 Oakland Ave Ste 204, Port Jefferson, NY and can be reached out via phone at 631-686-1414 and via fax at 631-686-1462.

Location: 125 Oakland Ave Ste 204, Port Jefferson, NY, 11741-5413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790244317
Provider Name
Michael Kenneth Tax
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
125 Oakland Ave Ste 204, Port Jefferson, NY, 11741-5413
Phone Number
631-686-1414
Fax Number
631-686-1462
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Oakland Ave Ste 204
City
Port Jefferson
State
New York
Zip
11777-2130
Phone Number
631-686-1414
Fax Number
631-686-1462
person
Provider Business Mailing Address Details
Address
125 Oakland Ave Ste 204
City
Port Jefferson
State
New York
Zip
11777-2130
Phone Number
631-686-1414
Fax Number
631-686-1462
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
262016-1 (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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