Individual
AUDREY S. KHADRAOUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
501 FRANKLIN AVENUE, SUITE 301, GARDEN CITY, NY 11530
(631) 782-7150
Mailing address
501 FRANKLIN AVENUE, SUITE 301, GARDEN CITY, NY 11530
(516) 782-7150
(516) 307-5808
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
267514
NY
Other
Enumeration date
03/09/2007
Last updated
04/16/2013
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