Provider Demographics
NPI:1629417167
Name:KAMARA, SELDINE A (LPN)
Entity Type:Individual
Prefix:MISS
First Name:SELDINE
Middle Name:A
Last Name:KAMARA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SELDINE
Other - Middle Name:N
Other - Last Name:BROWNE STRASNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11415 202ND ST
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-2812
Mailing Address - Country:US
Mailing Address - Phone:646-872-9971
Mailing Address - Fax:
Practice Address - Street 1:11415 202ND ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-2812
Practice Address - Country:US
Practice Address - Phone:646-872-9971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307248-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse