JENNIFER MALYCKY LPN
NPI 1134461635
Licensed Practical Nurse in Holbrook, NY

Active since March 22, 2013
39 FALLEN LEAF RD, HOLBROOK, NY 11741(631) 339-1914 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Malycky Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MALYCKY LPN (NPI 1134461635) is an individual licensed practical nurse in Holbrook, New York, licensed in New York (312088) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1134461635
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJENNIFER MALYCKYCredential: LPN
Location Address39 FALLEN LEAF RDHolbrook, NY 11741-2803
Mailing Address39 Fallen Leaf RdHolbrook, NY 11741-2803 · (631) 339-1914
Sole ProprietorYes
Enumeration DateMarch 22, 2013
NPI 1134461635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 312088
Definition
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.
39 FALLEN LEAF RD, Holbrook, NY 11741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Malycky's NPI number?

The NPI number for Jennifer Malycky is 1134461635. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Jennifer Malycky located?

Jennifer Malycky practices at 39 Fallen Leaf Rd, Holbrook, NY 11741. The listed phone number is (631) 339-1914.

What is Jennifer Malycky's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Malycky was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.