National Provider Identifier

Raymond Danielak II, LPN

Raymond Danielak II, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 576-5180.

NPI 1952792756Brockport, NYLicensed Practical Nurse

Profile Overview

NPI
1952792756
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 15, 2015
Last Updated
February 15, 2015

Practice Location

  • 126 Viking Way
  • Brockport, NY 14420-2405

Phone: (585) 576-5180

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1952792756
Entity Type
Individual
Last Name
Danielak
First Name
Raymond
Name Prefix
Mr.
Name Suffix
II
Credential
LPN
Mailing Street Address
126 Viking Way
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2405
Mailing Country
US
Mailing Phone
(585) 576-5180
Practice Street Address
126 Viking Way
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2405
Practice Country
US
Practice Phone
(585) 576-5180
Enumeration Date
February 15, 2015
Last Updated
February 15, 2015
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)