Healthcare Provider Details

I. General information

NPI: 1316221252
Provider Name (Legal Business Name): ELAINE F. TOMPKINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 LINDA AVE
HAWTHORNE NY
10532-2050
US

IV. Provider business mailing address

228 LINDA AVE
HAWTHORNE NY
10532-2050
US

V. Phone/Fax

Practice location:
  • Phone: 914-773-7423
  • Fax: 914-773-0557
Mailing address:
  • Phone: 914-773-7423
  • Fax: 914-773-0557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number422940-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: