MEDICARE: MS. LATOYA WASHINGTON

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
1	251E00000X	Home Health Agency	324917-1	NY

General Provider Information

NPI Number	:	1497116958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LATOYA WASHINGTON

Provider Business Mailing Address
First Line	:	2112 LEIGHTON RD
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-3511
Country	:	US
Telephone Number	:	347-782-4953
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 LEIGHTON RD
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-3511
Country	:	US
Telephone Number	:	347-782-4953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	03/11/2016

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