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NPI Code Detail

MEDICARE: LINDA HORN RN

MEDICARE: LINDA HORN 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
1163WS0200XSchool Registered Nurse476830-1NY

General Provider Information

NPI Number : 1508123472
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA HORN RN
Provider Business Mailing Address
First Line : 715 OCEAN TER BLDG J
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-4542
Country : US
Telephone Number : 718-390-1370
Fax Number : 718-981-2023
Provider Business Practice Location Address
First Line : 715 OCEAN TER BLDG J
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-4542
Country : US
Telephone Number : 718-390-1370
Fax Number : 718-981-2023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2012
Last Update Date : 04/17/2012

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