Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Mezilus

Individual provider Licensed Practical Nurse · NPI 1952699399

Andre Mezilus is a Licensed Practical Nurse in Coram, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

4 Polk Ct Apt P4
Coram, NY 11727-3915
Phone: (646) 894-1055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 302390 (NY)

Record details

NPI number1952699399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2011
Last updated in NPPESJuly 19, 2011

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