Provider Demographics
NPI:1891372074
Name:ARLANTICO, MA LINDYTRINA JALBUENA (RN)
Entity Type:Individual
Prefix:
First Name:MA LINDYTRINA
Middle Name:JALBUENA
Last Name:ARLANTICO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-4730
Mailing Address - Country:US
Mailing Address - Phone:347-242-8250
Mailing Address - Fax:
Practice Address - Street 1:300 E OVERLOOK
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-4730
Practice Address - Country:US
Practice Address - Phone:347-242-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY628187-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse