NPI 1386812485

Private Duty Nurse

Organisation Physical Disabilities Residential Treatment Facility New Rochelle, NY

Practice location

Address: 106 Winthrop Ave 2nd Floor, New Rochelle, NY 10801-3313
Phone: (914) 433-5331
Mailing address: 106 Winthrop Ave 2nd Floor, New Rochelle, NY 10801

Authorised official

Name: Cardene Wallace
Title: Lpn
Phone: (914) 433-5331

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 169322-1 (NY)

Other Residential Treatment Facility, Physical Disabilities providers in New York →

Registry record

NPI: 1386812485
Entity type: Organization
NPI issued: 12 Feb 2008
Record last updated: 12 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.