Provider Demographics
NPI:1437296316
Name:AURINGER, CANDEE IRENE (LPN)
Entity Type:Individual
Prefix:
First Name:CANDEE
Middle Name:IRENE
Last Name:AURINGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 CANNING FACTORY RD
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:NY
Mailing Address - Zip Code:13142-2516
Mailing Address - Country:US
Mailing Address - Phone:315-298-4500
Mailing Address - Fax:
Practice Address - Street 1:377 CANNING FACTORY RD
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:NY
Practice Address - Zip Code:13142-2516
Practice Address - Country:US
Practice Address - Phone:315-298-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224356-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02715002Medicaid