National Provider Identifier
Andres Maldonado, LPN
Andres Maldonado, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lackawanna, NY and a listed phone number of (716) 400-2305.
Profile Overview
- NPI
- 1740823855
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 21, 2019
- Last Updated
- October 21, 2019
Practice Location
- 17 Peach St Rear
- Lackawanna, NY 14218-2409
Phone: (716) 400-2305
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1740823855
- Entity Type
- Individual
- Last Name
- Maldonado
- First Name
- Andres
- Name Prefix
- Mr.
- Credential
- LPN
- Mailing Street Address
- 17 Peach St Rear
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-2409
- Mailing Country
- US
- Mailing Phone
- (716) 400-2305
- Practice Street Address
- 17 Peach St Rear
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-2409
- Practice Country
- US
- Practice Phone
- (716) 400-2305
- Enumeration Date
- October 21, 2019
- Last Updated
- October 21, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)