Healthcare Provider Details

I. General information

NPI: 1194835785
Provider Name (Legal Business Name): VISITING NURSE SERVICE OF NEW YORK HOME CARE- EARLY INTERVENTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 ASTORIA BLVD. STE 220
EAST ELMHURST NY
11370
US

IV. Provider business mailing address

7520 ASTORIA BLVD. STE 220
EAST ELMHURST NY
11370
US

V. Phone/Fax

Practice location:
  • Phone: 212-609-6283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JOAN MARREN
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 212-609-1521