person
Andre Mezilus
Licensed Practical Nurse in Coram, New York
NPI 1952699399

Andre Mezilus is a Licensed Practical Nurse based in Coram, NY. Andre Mezilus practices in Coram, NY. The NPI Number for Andre Mezilus is 1952699399 and holds a License No. 302390 (New York).

The current practice location address for Andre Mezilus is 4 Polk Ct, Coram, NY and can be reached out via phone at 646-894-1055.

Location: 4 Polk Ct, Coram, NY, 11727-3915
person
Provider Profile Details
NPI Number
1952699399
Provider Name
Andre Mezilus
Credential
Provider Entity Type
Individual
Gender
Male
Address
4 Polk Ct, Coram, NY, 11727-3915
Phone Number
646-894-1055
Fax Number
Provider Enumeration Date
07/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 Polk Ct
City
State
Zip
11727-3915
Phone Number
646-894-1055
Fax Number
person
Provider Business Mailing Address Details
Address
4 Polk Ct
City
State
Zip
11727-3915
Phone Number
646-894-1055
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
302390 (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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