Provider Demographics
NPI:1467839779
Name:K AND I LICENSED PRACTICAL NURSE
Entity Type:Organization
Organization Name:K AND I LICENSED PRACTICAL NURSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:FRANCOISE
Authorized Official - Middle Name:
Authorized Official - Last Name:COICOU EMILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-610-8033
Mailing Address - Street 1:1178 MEADOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-1346
Mailing Address - Country:US
Mailing Address - Phone:516-610-8033
Mailing Address - Fax:516-833-5729
Practice Address - Street 1:1178 MEADOWBROOK RD
Practice Address - Street 2:
Practice Address - City:NORTH MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-1346
Practice Address - Country:US
Practice Address - Phone:516-610-8033
Practice Address - Fax:516-833-5729
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:K AND I LICENSED PRACTICAL NURSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265759251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care