Healthcare Provider Details

I. General information

NPI: 1275775835
Provider Name (Legal Business Name): MRS. MARGARET ANN TORNELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2009
Last Update Date: 03/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2094 ALBANY POST RD VA HOSPITAL
MONTROSE NY
10548-1454
US

IV. Provider business mailing address

18 DURRIN AVE
CORTLANDT MANOR NY
10567-1114
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number308177-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: