Healthcare Provider Details

I. General information

NPI: 1770495905
Provider Name (Legal Business Name): M REBECCA EUNYCE SAINTVIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6424 18TH AVE FL 2
BROOKLYN NY
11204-3729
US

IV. Provider business mailing address

1280 E 49TH ST
BROOKLYN NY
11234-2125
US

V. Phone/Fax

Practice location:
  • Phone: 929-465-8927
  • Fax:
Mailing address:
  • Phone: 929-465-8927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number358003
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: