ANDRE MEZILUS NPI 1952699399

NPI Information

Andre Mezilus is a licensed practical nurse in Coram, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Andre Mezilus NPI is 1952699399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 POLK CT
APT P4
CORAM, NY
ZIP 11727-915
Phone: (646) 894-1055

The enumeration date for this NPI number is 7/19/2011 and was last updated on 7/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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