Healthcare Provider Details

I. General information

NPI: 1518505106
Provider Name (Legal Business Name): NEASHIA RHODEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2019
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 FRANKLIN AVE STE 150
GARDEN CITY NY
11530-5807
US

IV. Provider business mailing address

501 FRANKLIN AVE STE 140
GARDEN CITY NY
11530-5807
US

V. Phone/Fax

Practice location:
  • Phone: 516-515-8803
  • Fax: 516-531-2107
Mailing address:
  • Phone: 516-515-8803
  • Fax: 516-531-2107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11005024
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number353556
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: