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

Michael Andre Bacchus, LPN

Individual provider Licensed Practical Nurse · NPI 1760885263

Michael Andre Bacchus, LPN 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
2014
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

31 Gaetano Ln
Coram, NY 11727
Phone: (631) 624-8348
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 292701-1 (NY)

Record details

NPI number1760885263
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedSeptember 29, 2014
Last updated in NPPESSeptember 29, 2014
Mailing address31 Gaetano Ln, Coram, NY 11727-2343

Other providers in Coram