Healthcare Provider Details

I. General information

NPI: 1891658795
Provider Name (Legal Business Name): RLS TRAVELS NY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CHIMNEY LN
LEVITTOWN NY
11756-1123
US

IV. Provider business mailing address

7 CHIMNEY LN
LEVITTOWN NY
11756-1123
US

V. Phone/Fax

Practice location:
  • Phone: 516-996-6929
  • Fax:
Mailing address:
  • Phone: 516-996-6929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SHANNON MARIE CONNOCHIE
Title or Position: REGISTERED NURSE
Credential: RN BSN
Phone: 516-996-6929