Healthcare Provider Details

I. General information

NPI: 1609086974
Provider Name (Legal Business Name): HARRY'S NURSES REGISTRY,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8825 163RD ST
JAMAICA NY
11432-4046
US

IV. Provider business mailing address

8825 163RD ST
JAMAICA NY
11432-4046
US

V. Phone/Fax

Practice location:
  • Phone: 718-739-0045
  • Fax: 718-739-0102
Mailing address:
  • Phone: 718-739-0045
  • Fax: 718-739-0102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number9245L001
License Number StateNY

VIII. Authorized Official

Name: HARRY DORVILIER
Title or Position: CEO
Credential:
Phone: 718-739-0045