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

Breona Petteway Support Services Incorporated

Organization Licensed Practical Nurse · NPI 1194674622

Breona Petteway Support Services Incorporated is a Licensed Practical Nurse in Wyandanch, New York. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

18 Lake Dr
Wyandanch, NY 11798-3430
Phone: (934) 256-2441
Fax: (934) 256-2441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X

Record details

NPI number1194674622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Breona Petteway — Lpn · (934) 256-2441
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address54 State St Ste 80416264, Albany, NY 12207-2540

Other providers in Wyandanch