Healthcare Provider Details

I. General information

NPI: 1063005627
Provider Name (Legal Business Name): SURAY MCDOWELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2021
Last Update Date: 02/15/2021
Certification Date: 02/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 STERLING DR
WAPPINGERS FALLS NY
12590-4157
US

IV. Provider business mailing address

804 STERLING DR
WAPPINGERS FALLS NY
12590-4157
US

V. Phone/Fax

Practice location:
  • Phone: 845-490-0248
  • Fax:
Mailing address:
  • Phone: 845-490-0248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number633037
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number633037
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number633037
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number633037
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number633037
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number633037
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number633037
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number633037
License Number StateNY
# 9
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number633037
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: