Provider Demographics
NPI:1457681181
Name:CELESTIN, JOSEE MARIE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JOSEE
Middle Name:MARIE
Last Name:CELESTIN
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 1:10 JUSTIN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-4090
Mailing Address - Country:US
Mailing Address - Phone:631-476-7138
Mailing Address - Fax:631-476-0198
Practice Address - Street 1:10 JUSTIN CIRCLE
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776
Practice Address - Country:US
Practice Address - Phone:631-476-7138
Practice Address - Fax:631-476-0198
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296720-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse