Healthcare Provider Details

I. General information

NPI: 1750652699
Provider Name (Legal Business Name): EVELYN CLARE FOLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PARK AVE. ST. JOHN'S RIVERSIDE HOSPITAL THE HOPE CENTER
YONKERS NY
10703-3497
US

IV. Provider business mailing address

2 PARK AVE. ST. JOHN'S RIVERSIDE HOSPITAL
YONKERS NY
10703-3497
US

V. Phone/Fax

Practice location:
  • Phone: 914-964-7804
  • Fax: 914-964-7720
Mailing address:
  • Phone: 914-964-7804
  • Fax: 914-964-7720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number339164
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: