Healthcare Provider Details

I. General information

NPI: 1255672929
Provider Name (Legal Business Name): FLORENCE EXINOR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 03/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N PORTLAND AVE DEPARTMENT OF PEDIATRICS
BROOKLYN NY
11205-2005
US

IV. Provider business mailing address

760 BROADWAY DEPARTMENT OF NURSING
BROOKLYN NY
11206-5317
US

V. Phone/Fax

Practice location:
  • Phone: 718-260-7802
  • Fax: 718-630-3122
Mailing address:
  • Phone: 718-260-7802
  • Fax: 718-630-3122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number476795-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: