SearchNew York164W00000X

Elisiea Class, LPN

NPI 1992155808 · on the registry since 2016 · sole proprietor

Practice

Address
205 Hawthorne Ave Apt 65
Central Islip, NY 11722
Phone
(631) 487-7763

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York