Healthcare Provider Details

I. General information

NPI: 1508281445
Provider Name (Legal Business Name): DARLENE CAMILLA ALBERT BSN,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2014
Last Update Date: 03/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2052 TILLOTSON AVE SUITE 102
BRONX NY
10475-1560
US

IV. Provider business mailing address

186 RAMAPO RD APT F
GARNERVILLE NY
10923-1560
US

V. Phone/Fax

Practice location:
  • Phone: 718-671-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number631453
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number631453
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: