Madeline Avila
Licensed Practical Nurse in Roosevelt, NY. Individual provider (NPI-1).
NPI number1295869451
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295869451
- Entity type
- Individual (NPI-1)
- Name
- Madeline Avila
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 278804-01 | NY | Yes |
Practice location
380 Washington AveRoosevelt, NY 11575-1845
Phone 516-378-2000
Mailing address
380 Washington AveRoosevelt, NY 11575-1845
Phone 516-378-2000
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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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