MARIE GUSTAVE LPN
NPI 1720559891
Licensed Practical Nurse in Coram, NY

Active since December 16, 2018
1998 ROUTE 112 APT 51A, CORAM, NY 11727(631) 624-8242 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie Gustave Lpn NPPES

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

MARIE GUSTAVE LPN (NPI 1720559891) is an individual licensed practical nurse in Coram, New York, licensed in New York (331179) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1720559891
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARIE GUSTAVECredential: LPN
Location Address1998 ROUTE 112 APT 51ACoram, NY 11727-3062
Mailing Address1998 Route 112 Apt 51aCoram, NY 11727-3062 · (631) 624-8242
Sole ProprietorYes
Enumeration DateDecember 16, 2018
NPI 1720559891 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 · 331179
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.
1998 ROUTE 112 APT 51A, Coram, NY 11727

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 Marie Gustave's NPI number?

The NPI number for Marie Gustave is 1720559891. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Marie Gustave located?

Marie Gustave practices at 1998 Route 112 Apt 51A, Coram, NY 11727. The listed phone number is (631) 624-8242.

What is Marie Gustave'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 Marie Gustave was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.