| Edjeanine Boucicault, LPN | |
|
153 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3193 | |
| (631) 522-6876 | |
| Not Available |
| Full Name | Edjeanine Boucicault |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 153 Lake Shore Rd, Lake Ronkonkoma, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912624115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 332414-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edjeanine Boucicault, LPN 153 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3193 Ph: (631) 522-6876 | Edjeanine Boucicault, LPN 153 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3193 Ph: (631) 522-6876 |
Miss Meagan Mcguigan, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 14 Creighton Ave, Lake Ronkonkoma, NY 11779 Phone: 631-774-0565 | |
Amanda Little, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 45 Lakeside Dr, Lake Ronkonkoma, NY 11779 Phone: 631-948-1011 | |
Angelica Falco, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8 Topaz Dr, Lake Ronkonkoma, NY 11779 Phone: 631-624-2042 | |
Nicholas Martin Pascullo, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Lake Shore Rd, Lake Ronkonkoma, NY 11779 Phone: 631-471-5666 | |
Ms. Megan Melissa Crain, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 147 Lake Shore Rd, Apt. 23b, Lake Ronkonkoma, NY 11779 Phone: 631-780-2104 Fax: 631-981-0345 | |
Miss Amanda Mary Hurrinus I, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779 Phone: 631-471-5666 | |
Anna Elaine Weiss, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 17 Duane Dr, Lake Ronkonkoma, NY 11779 Phone: 215-870-7255 |