PAIGE ICKES
NPI 1922462472
Licensed Practical Nurse in Bohemia, NY
About Paige Ickes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIGE ICKES (NPI 1922462472) is an individual licensed practical nurse in Bohemia, New York, licensed in New York (323518) and active in the NPI registry since April 2016.
NPPES Registry Identity
Specialties & Licenses
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 Paige Ickes's NPI number?
The NPI number for Paige Ickes is 1922462472. It was assigned to this individual provider in the NPPES registry on April 11, 2016.
Where is Paige Ickes located?
Paige Ickes practices at 932 Pond Rd, Bohemia, NY 11716. The listed phone number is (631) 605-4474.
What is Paige Ickes'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 Paige Ickes was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Paige Ickes · NPI 1922462472
Licensed Practical Nurse provider in Bohemia, New York. Individual provider, active in the CMS NPPES registry since April 11, 2016.
## Identity
- **NPI:** 1922462472 (Entity type: Individual)
- **Enumerated:** April 11, 2016
- **Primary specialty:** Licensed Practical Nurse · taxonomy 164W00000X
- **State license:** 323518 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 932 POND RD, Bohemia, NY 11716-3521
- **Phone:** (631) 605-4474
## Record status
- **NPPES last updated:** April 11, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1922462472) · Data from the CMS NPPES public registry.