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NPI Code Detail

MEDICARE: VALENTINA HARRISON R.N.

MEDICARE: VALENTINA HARRISON R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse620398NY

General Provider Information

NPI Number : 1053680090
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALENTINA HARRISON R.N.
Provider Business Mailing Address
First Line : 1073 REILLY ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-2611
Country : US
Telephone Number : 631-254-2904
Fax Number :
Provider Business Practice Location Address
First Line : 1073 REILLY ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-2611
Country : US
Telephone Number : 631-254-2904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2011
Last Update Date : 12/20/2011

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Directions to “ VALENTINA HARRISON R.N.” Practice Location

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