FERNDALE ADULT HEALTH N.P. PLLC NPI 1508922741

NPI Information

NPI: 1508922741
Provider Name: FERNDALE ADULT HEALTH N.P. PLLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
653 HARRIS RD
FERNDALE, NY
ZIP 12734
Phone: (845) 292-1200
Get Directions

FERNDALE ADULT HEALTH N.P. PLLC is an adult health nurse practitioner in Ferndale, NY. FERNDALE ADULT HEALTH N.P. PLLC NPI is 1508922741. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

653 HARRIS RD
FERNDALE, NY
ZIP 12734-134
Phone: (845) 292-1200
Fax: (845) 292-1303

The provider's authorized official is Linda Rene Thompson .
The authorized official title is Owner and has the following contact phone number (845) 292-1200.

The enumeration date for this NPI number is 12/30/2006 and was last updated on 3/19/2008.

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	363LA2200X	Nurse Practitioner	Adult Health	F300412	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WQW281	MEDICARE PIN	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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