MEDICARE: GREATER NY NURSING

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

General Provider Information

NPI Number	:	1841080033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER NY NURSING

Provider Business Mailing Address
First Line	:	27 CLAREMONT AVE APT 1D
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10550-1646
Country	:	US
Telephone Number	:	347-431-6550
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 CLAREMONT AVE APT 1D
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10550-1646
Country	:	US
Telephone Number	:	347-431-6550
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	MISS JACINTA PIERRE
Credential	:	RN
Telephone Number	:	347-431-6550

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	05/29/2025

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