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

Peter Novellino

Individual provider Licensed Practical Nurse · NPI 1104100726

Peter Novellino is a Licensed Practical Nurse in Farmingdale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

12 Lenore Ln
Farmingdale, NY 11735-4417
Phone: (516) 567-6053
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 293492 (NY)

Record details

NPI number1104100726
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 30, 2011
Last updated in NPPESSeptember 30, 2011

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