Healthcare Provider Details

I. General information

NPI: 1346550860
Provider Name (Legal Business Name): TONI WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 10/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 HOFFMAN AVE
ELMONT NY
11003
US

IV. Provider business mailing address

183 HOFFMAN AVE
ELMONT NY
11003
US

V. Phone/Fax

Practice location:
  • Phone: 718-528-3432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number6250851
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: