MEDICARE: MRS. JUANITA ORJI L.P.N.

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	164W00000X	Licensed Practical Nurse	0000000	NY

General Provider Information

NPI Number	:	1497800791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUANITA ORJI L.P.N.

Provider Business Mailing Address
First Line	:	PO BOX 266
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-0266
Country	:	US
Telephone Number	:	914-557-7981
Fax Number	:

Provider Business Practice Location Address
First Line	:	4206 AMUSO DR
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-1031
Country	:	US
Telephone Number	:	914-557-7981
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/08/2007

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