Provider Demographics
NPI:1033465760
Name:SANON, HUGO (LPN)
Entity Type:Individual
Prefix:MR
First Name:HUGO
Middle Name:
Last Name:SANON
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CONKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10927
Mailing Address - Country:US
Mailing Address - Phone:914-953-8560
Mailing Address - Fax:845-786-0810
Practice Address - Street 1:50 CONKLIN AVE
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-1519
Practice Address - Country:US
Practice Address - Phone:914-953-8560
Practice Address - Fax:845-786-0810
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2377381164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse