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NPI Code Detail

MEDICARE: MISS RITA FRANCESTOR GOULBOURNE R.N

MEDICARE: MISS RITA FRANCESTOR GOULBOURNE 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
1163WH0200XHome Health Registered Nurse522761NY

General Provider Information

NPI Number : 1649422106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RITA FRANCESTOR GOULBOURNE R.N
Provider Business Mailing Address
First Line : 965 E 221ST ST
Second Line :
City : BRONX
State : NY
Zip : 10469-1015
Country : US
Telephone Number : 718-405-1994
Fax Number :
Provider Business Practice Location Address
First Line : 3515 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-1670
Country : US
Telephone Number : 718-944-1776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2008
Last Update Date : 10/16/2008

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