IndividualActive
Khamattie Mahase
NPI 1093229403 · Licensed Practical Nurse · Central Islip, NY
Khamattie Mahase is a Licensed Practical Nurse provider in Central Islip, NY (NPI 1093229403).
Provider details
- NPI number
- 1093229403
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9713354 (NY)
Practice location
149 Acorn Ave
Central Islip, NY 11722-3518
Phone: (718) 344-8037
Street-level locationGet directions
Mailing address
149 Acorn Ave
Central Islip, NY 11722-3518
Registry dates
- Enumerated
- 2017-11-21
- Last updated
- 2017-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.