TINA MARIE MIRITELLO L.P.N.
NPI 1962777243
Licensed Practical Nurse in Poughquag, NY

Active since March 20, 2012
49 MAYFAIR ROAD, POUGHQUAG, NY 12570(845) 803-3191 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tina Marie Miritello L.p.n. NPPES

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

TINA MARIE MIRITELLO L.P.N. (NPI 1962777243) is an individual licensed practical nurse in Poughquag, New York, licensed in New York (309198) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1962777243
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTINA MARIE MIRITELLOCredential: L.P.N.
Location Address49 MAYFAIR ROADPoughquag, NY 12570
Mailing Address49 Mayfair RoadPoughquag, NY 12570 · (845) 803-3191
Sole ProprietorYes
Enumeration DateMarch 20, 2012
NPI 1962777243 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 · 309198
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.

49 MAYFAIR ROAD, Poughquag, NY 12570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962777243, enumerated as an "individual" on March 20, 2012.

The provider is located at 49 MAYFAIR ROAD POUGHQUAG, NY 12570 and the phone number is (845) 803-3191.

Licensed Practical Nurse with taxonomy code 164W00000X.