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NPI Code Detail

MEDICARE: MARY JANE DELGADO REGISTERED NURSE

MEDICARE:   MARY JANE DELGADO  REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse361948-1NY

General Provider Information

NPI Number : 1124178181
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY JANE DELGADO REGISTERED NURSE
Provider Business Mailing Address
First Line : PO BOX 318
Second Line :
City : CHESTER
State : NY
Zip : 10918-0318
Country : US
Telephone Number : 845-313-7737
Fax Number :
Provider Business Practice Location Address
First Line : 54 W 40TH ST
Second Line : DAYTOP
City : NEW YORK
State : NY
Zip : 10018-2602
Country : US
Telephone Number : 845-292-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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Directions to “ MARY JANE DELGADO REGISTERED NURSE” Practice Location

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