Healthcare Provider Details

I. General information

NPI: 1457600322
Provider Name (Legal Business Name): NECHAMA LEAH HURWITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2012
Last Update Date: 09/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12A MARTHA RD
MONSEY NY
10952
US

IV. Provider business mailing address

12A MARTHA RD
MONSEY NY
10952
US

V. Phone/Fax

Practice location:
  • Phone: 845-354-2419
  • Fax:
Mailing address:
  • Phone: 845-354-2419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number649044
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: