MEDICARE: MS. ERLANDE D CADET 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	163W00000X	Registered Nurse	650478	NY

General Provider Information

NPI Number	:	1578813374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERLANDE D CADET RN

Provider Business Mailing Address
First Line	:	1 FARMINGDALE RD
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704
Country	:	US
Telephone Number	:	631-236-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	3390 ROUTE 112
Second Line	:
City	:	MEDFORD
State	:	NY
Zip	:	11763-1442
Country	:	US
Telephone Number	:	631-252-8176
Fax Number	:

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

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	02/12/2021

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