Healthcare Provider Details

I. General information

NPI: 1881968758
Provider Name (Legal Business Name): NYC HEALTHCARE STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2012
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 5TH AVE 1204
NEW YORK NY
10017-6107
US

IV. Provider business mailing address

501 5TH AVE 1204
NEW YORK NY
10017-6107
US

V. Phone/Fax

Practice location:
  • Phone: 646-998-8128
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. HAZEL KUDERA
Title or Position: PRESIDENT
Credential:
Phone: 646-998-8128