National Provider Identifier

Andrey Khabursky, LPN

Andrey Khabursky, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Macedon, NY and a listed phone number of (585) 491-0964.

NPI 1538728027Macedon, NYLicensed Practical Nurse

Profile Overview

NPI
1538728027
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 10, 2019
Last Updated
June 10, 2019

Practice Location

  • 285 Farmview Dr
  • Macedon, NY 14502-9329

Phone: (585) 491-0964

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1538728027
Entity Type
Individual
Last Name
Khabursky
First Name
Andrey
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
285 Farmview Dr
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-9329
Mailing Country
US
Mailing Phone
(585) 491-0964
Practice Street Address
285 Farmview Dr
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502-9329
Practice Country
US
Practice Phone
(585) 491-0964
Enumeration Date
June 10, 2019
Last Updated
June 10, 2019
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)