Healthcare Provider Details

I. General information

NPI: 1700741915
Provider Name (Legal Business Name): FLORENCE SEALTINE MCINTYRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 OLD ORANGEBURG RD
ORANGEBURG NY
10962-1157
US

IV. Provider business mailing address

1 WALDRON DR
STONY POINT NY
10980-2407
US

V. Phone/Fax

Practice location:
  • Phone: 347-245-6622
  • Fax:
Mailing address:
  • Phone: 347-245-6622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number605384
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: