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NPI Code Detail

MEDICARE: MS. ROLANDE FANORD LPN

MEDICARE:  MS. ROLANDE  FANORD  LPN
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
13140N1450XPediatric Skilled Nursing Facility311578NY

General Provider Information

NPI Number : 1477979565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROLANDE FANORD LPN
Provider Business Mailing Address
First Line : 1356 E 85TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5106
Country : US
Telephone Number : 347-353-5265
Fax Number :
Provider Business Practice Location Address
First Line : 1356 E 85TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5106
Country : US
Telephone Number : 347-353-5265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2014
Last Update Date : 03/13/2014

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Directions to “ MS. ROLANDE FANORD LPN” Practice Location

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