Healthcare Provider Details

I. General information

NPI: 1881968667
Provider Name (Legal Business Name): SDHARI NANA CASON-PAYANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 OLD ORCHARD ST
WHITE PLAINS NY
10604-1053
US

IV. Provider business mailing address

10 BRIAR CIR
NEW ROCHELLE NY
10804-3901
US

V. Phone/Fax

Practice location:
  • Phone: 914-948-7271
  • Fax:
Mailing address:
  • Phone: 914-355-4351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number596122
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: