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Ms. Alyssa Marie De Gennaro, LPN
Licensed Practical Nurse in Mastic, New York
NPI 1942509294

Alyssa Marie De Gennaro is a Licensed Practical Nurse based in Mastic, NY. Alyssa Marie De Gennaro practices in Mastic, NY and has the professional credentials of LPN. The NPI Number for Alyssa Marie De Gennaro is 1942509294 and holds a License No. 304428-1 (New York).

The current practice location address for Alyssa Marie De Gennaro is 103 Madison St, Mastic, NY and can be reached out via phone at 631-682-9504.

Location: 103 Madison St, Mastic, NY, 11950-3901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942509294
Provider Name
Alyssa Marie De Gennaro
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
103 Madison St, Mastic, NY, 11950-3901
Phone Number
631-682-9504
Fax Number
Provider Enumeration Date
03/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
103 Madison St
City
Mastic
State
New York
Zip
11950-3901
Phone Number
631-682-9504
Fax Number
person
Provider Business Mailing Address Details
Address
103 Madison St
City
Mastic
State
New York
Zip
11950-3901
Phone Number
631-682-9504
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
304428-1 (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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