Healthcare Provider Details

I. General information

NPI: 1710255484
Provider Name (Legal Business Name): DENISE ANN VIRNELLI RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2011
Last Update Date: 12/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SCHOOL LN
HUNTINGTON NY
11743-1039
US

IV. Provider business mailing address

7 SCHOOL LN
HUNTINGTON NY
11743-1039
US

V. Phone/Fax

Practice location:
  • Phone: 631-367-8800
  • Fax: 631-421-4229
Mailing address:
  • Phone: 631-367-8800
  • Fax: 631-421-4229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number450901
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: