Healthcare Provider Details

I. General information

NPI: 1437311388
Provider Name (Legal Business Name): HARRYS NURSES REGISTRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 DREISER LOOP APT # 9-H
BRONX NY
10475-1917
US

IV. Provider business mailing address

170 DREISER LOOP APT # 9-H
BRONX NY
10475-1917
US

V. Phone/Fax

Practice location:
  • Phone: 718-671-6539
  • Fax: 718-671-6539
Mailing address:
  • Phone: 718-671-6539
  • Fax: 718-671-6539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2801771
License Number StateNY

VIII. Authorized Official

Name: MR. HARRY UNKNOWN DORVILLIER I
Title or Position: MANAGER OWNER
Credential: MANAGER
Phone: 718-739-0045