Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY LYNN CASANOVA, LPN
Active Sole ProprietorMS. KELLY LYNN CASANOVA, LPN is a Skilled Nursing Facility healthcare provider located in MASTIC, New York. NPI 1669818100 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · MASTIC, NY
Registration Details
- NPI Number
- 1669818100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2013 (13.245820861458 yrs)
- Last Updated
- May 10, 2013
- License
-
245173-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3 OCEAN AVEMASTIC, NY, 119504303Browse NY providers · Browse ZIP 11950
- Phone
- 6313990322
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.