Provider Demographics
NPI:1679960702
Name:CHIN-SANG, NILKA (LPN)
Entity type:Individual
Prefix:
First Name:NILKA
Middle Name:
Last Name:CHIN-SANG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OAKRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961-2320
Mailing Address - Country:US
Mailing Address - Phone:631-855-2995
Mailing Address - Fax:
Practice Address - Street 1:6 OAKRIDGE CIR
Practice Address - Street 2:
Practice Address - City:RIDGE
Practice Address - State:NY
Practice Address - Zip Code:11961-2320
Practice Address - Country:US
Practice Address - Phone:631-855-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197855164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse