Healthcare Provider Details
I. General information
NPI: 1699685529
Provider Name (Legal Business Name): IMPERIAL STAFFING AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 MAIN STREET APT 2C
OSSINING NY
10562-4719
US
IV. Provider business mailing address
205 MAIN STREET APT 2C
OSSINING NY
10562-4719
US
V. Phone/Fax
- Phone: 329-243-7048
- Fax:
- Phone: 329-243-7048
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHANTAL
VOLTAIRE
Title or Position: OWNER
Credential: LPN
Phone: 329-243-7048