Provider Demographics
NPI:1255757225
Name:CHAPLIN, ZAQIA (LPN)
Entity type:Individual
Prefix:
First Name:ZAQIA
Middle Name:
Last Name:CHAPLIN
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 1:2610 FOX RD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3617
Mailing Address - Country:US
Mailing Address - Phone:516-949-9469
Mailing Address - Fax:
Practice Address - Street 1:96 LEONARD AVE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-1607
Practice Address - Country:US
Practice Address - Phone:516-949-9469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316944164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse