Provider Demographics
NPI:1275078669
Name:BAPTISTE, LUCKNISE FILS-AIME (RN)
Entity Type:Individual
Prefix:MRS
First Name:LUCKNISE
Middle Name:FILS-AIME
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LUCKNISE
Other - Middle Name:FILS-AIME
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:89-14 PARSONS BLVD.
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-557-8760
Mailing Address - Fax:718-557-8765
Practice Address - Street 1:89-14 PARSONS BLVD.
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-557-8760
Practice Address - Fax:718-557-8765
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY549341163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse