Healthcare Provider Details

I. General information

NPI: 1427993187
Provider Name (Legal Business Name): DELETERIOUS BUTLER AND ASSOCIATES CARE HEALTH CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FREEMAN CT
COMMACK NY
11725-3911
US

IV. Provider business mailing address

1 FREEMAN CT
COMMACK NY
11725-3911
US

V. Phone/Fax

Practice location:
  • Phone: 347-909-6036
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DEMEETRIO BUTLER
Title or Position: OWNER
Credential:
Phone: 347-909-6036