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NPI Code Detail

MEDICARE: REBECCA DELAINE FLORES RN

MEDICARE: REBECCA DELAINE FLORES RN
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
1163WM0705XMedical-Surgical Registered Nurse755546NY

General Provider Information

NPI Number : 1497221725
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA DELAINE FLORES RN
Provider Business Mailing Address
First Line : 485 CHESTER ST
Second Line :
City : UNIONDALE
State : NY
Zip : 11553-2421
Country : US
Telephone Number : 919-464-6908
Fax Number :
Provider Business Practice Location Address
First Line : 675 3RD AVE FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10017-5731
Country : US
Telephone Number : 919-464-6908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2018
Last Update Date : 10/14/2018

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