Healthcare Provider Details

I. General information

NPI: 1780509224
Provider Name (Legal Business Name): RPN NURSING CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18705 HILBURN AVE
SAINT ALBANS NY
11412-1931
US

IV. Provider business mailing address

18705 HILBURN AVE
SAINT ALBANS NY
11412-1931
US

V. Phone/Fax

Practice location:
  • Phone: 718-506-8533
  • Fax: 718-506-8533
Mailing address:
  • Phone: 718-506-8533
  • Fax: 718-506-8533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SL0600X
TaxonomyLong-Term Care Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: IVY MAY MCLEGGAN
Title or Position: REGISTERED NURSE /OWNER
Credential: MCLEGGAN
Phone: 718-506-8533