MEDICARE: LAURA KOVACS RN

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
1	163WS0200X	School Registered Nurse	477225	NY

General Provider Information

NPI Number	:	1437528775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA KOVACS RN

Provider Business Mailing Address
First Line	:	181 WEST ROAD
Second Line	:	THE JOSEPH D'AQUANNI WEST ROAD INTERMEDIATE SCHOOL
City	:	PLEASANT VALLEY
State	:	NY
Zip	:	12569-6221
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	181 WEST ROAD
Second Line	:	THE JOSEPH D'AQUANNI WEST ROAD INTERMEDIATE SCHOOL
City	:	PLEASANT VALLEY
State	:	NY
Zip	:	12569-6221
Country	:	US
Telephone Number	:	845-635-4310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2015
Last Update Date	:	09/16/2015

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