THERESA REYES CUSTODIO RN NPI 1508162397

NPI Information

NPI: 1508162397
Provider Name: THERESA REYES CUSTODIO, RN
Classification: Registered Nurse - 163WP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1 PIER POINTE ST
APT 517
YONKERS, NY
ZIP 10701
Phone: (774) 888-7724
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Theresa Reyes Custodio, RN is a pediatrics registered nurse in Yonkers, NY. Theresa Reyes Custodio, RN NPI is 1508162397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 PIER POINTE ST
APT 517
YONKERS, NY
ZIP 10701-941
Phone: (774) 888-7724

The enumeration date for this NPI number is 1/27/2011 and was last updated on 1/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	608387-1	NEW YORK	No
2	163WP0200X	Registered Nurse	Pediatrics	608387-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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