Healthcare Provider Details

I. General information

NPI: 1881606978
Provider Name (Legal Business Name): BIJU FRANCIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 ETNA PL
NANUET NY
10954-1105
US

IV. Provider business mailing address

41 ETNA PL
NANUET NY
10954-1105
US

V. Phone/Fax

Practice location:
  • Phone: 845-613-7838
  • Fax: 845-613-7839
Mailing address:
  • Phone: 845-613-7838
  • Fax: 845-613-7839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number505957
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: