Khamattie Mahase
Licensed Practical Nurse in Central Islip, NY. Individual provider (NPI-1).
NPI number1093229403
StatusActive
Last updated in NPPESNov 21, 2017
Details
- NPI
- 1093229403
- Entity type
- Individual (NPI-1)
- Name
- Khamattie Mahase
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2017
- Last updated
- Nov 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 9713354 | NY | Yes |
Practice location
149 Acorn AveCentral Islip, NY 11722-3518
Phone 718-344-8037
Mailing address
149 Acorn AveCentral Islip, NY 11722-3518
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 105 Licensed Practical Nurse providers in Central Islip · All 559 providers in Central Islip
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