Provider Demographics
NPI:1477988129
Name:HOOKER, DANTE TYRONE (LPN)
Entity Type:Individual
Prefix:
First Name:DANTE
Middle Name:TYRONE
Last Name:HOOKER
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 1:76 CAVE HOLW
Mailing Address - Street 2:
Mailing Address - City:W HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14586-9568
Mailing Address - Country:US
Mailing Address - Phone:585-781-0996
Mailing Address - Fax:
Practice Address - Street 1:76 CAVE HOLW
Practice Address - Street 2:
Practice Address - City:W HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14586-9568
Practice Address - Country:US
Practice Address - Phone:585-781-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315222164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse