Healthcare Provider Details

I. General information

NPI: 1740975010
Provider Name (Legal Business Name): LOUISE A CASHMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086 E MAIN ST
SHRUB OAK NY
10588-1507
US

IV. Provider business mailing address

190 LONG HILL DR APT D
YORKTOWN HEIGHTS NY
10598-5229
US

V. Phone/Fax

Practice location:
  • Phone: 914-245-1700
  • Fax:
Mailing address:
  • Phone: 914-837-7250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number365786
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: