Healthcare Provider Details

I. General information

NPI: 1013539311
Provider Name (Legal Business Name): MICAH EASTMAN LPN, MICHAEL EASTMAN RN, OSHEA EASTMAN RN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 MADISON AVE STE 545
NEW YORK NY
10022-3301
US

IV. Provider business mailing address

555 MADISON AVE STE 545
NEW YORK NY
10022-3301
US

V. Phone/Fax

Practice location:
  • Phone: 718-913-0944
  • Fax: 718-228-8596
Mailing address:
  • Phone: 718-913-0944
  • Fax: 718-228-8596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MICAH J EASTMAN
Title or Position: PRESIDENT/ADMINISTRATOR/NURSE
Credential: LPN
Phone: 718-913-0944