Healthcare Provider Details

I. General information

NPI: 1538350954
Provider Name (Legal Business Name): ANN RITA DARCY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 W 19 ST
HUNT STA NY
11746
US

IV. Provider business mailing address

51 W 19 ST
HUNT STA NY
11746
US

V. Phone/Fax

Practice location:
  • Phone: 631-271-8408
  • Fax:
Mailing address:
  • Phone: 631-271-8408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number3950651
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: