MEDICARE: MEDARDO OCASIONES EBOL JR. 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
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	637484	NY

General Provider Information

NPI Number	:	1649819616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEDARDO OCASIONES EBOL JR. RN

Provider Business Mailing Address
First Line	:	410 WESTCHESTER AVE UNIT 110
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-3619
Country	:	US
Telephone Number	:	914-473-1039
Fax Number	:

Provider Business Practice Location Address
First Line	:	KIRBY FORENSIC PSYCHIATRIC CENTER
Second Line	:	WARDS ISLAND COMPLEX
City	:	MANHATTAN
State	:	NY
Zip	:	10035-6095
Country	:	US
Telephone Number	:	914-646-6800
Fax Number	:	914-646-6892

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

Provider Enumeration Date	:	12/23/2019
Last Update Date	:	12/23/2019

Similar Medicare Providers

1205451499 — DAVID COOK LSCSW
Practice Location Address:

630 HUMBOLDT ST , STE 110
MANHATTAN, KS
66502-6095

Practice Phone: 785-799-5666
Practice Fax: 785-396-4399

1265657092 — JAMES WHITNEY HICKS M.D.
Practice Location Address:

KIRBY FORENSIC P.C. , WARDS ISLAND COMPLEX
NEW YORK, NY
10035-6095

Practice Phone: 646-672-5802
Practice Fax:

1932747128 — MRS. JOYCE MARTINEZ REGISTERED NURSE
Practice Location Address:

WARDS ISLAND COMPLEX
NEW YORK, NY
10035-6095

Practice Phone: 646-672-5806
Practice Fax:

1578102380 — MRS. MILALUZ TUBA AFUANG RN
Practice Location Address:

KIRBY FORENSIC PSCHIATRIC CENTER , 600 E 125TH STREET
NEW YORK, NY
10035-6095

Practice Phone: 646-672-6805
Practice Fax: 646-672-6898

1811079270 — MANHATTAN ADDICTION TREATMENT CENTER
Practice Location Address:

600 E 125TH STREET , MEYER BUILDING WARDS ISLAND MANHATTAN PSYCHIATRIC CEN
NEW YORK, NY
10035

Practice Phone: 646-672-6120
Practice Fax: 646-672-6670

1780831669 — DR. TYSON JUDE BOUDREAUX MD
Practice Location Address:

600 E 125TH ST , MANHATTAN PSYCHIATRIC CENTER, DUNLAP 5B
NEW YORK, NY
10035-6000

Practice Phone: 646-672-6052
Practice Fax:

Directions to “ MEDARDO OCASIONES EBOL JR. RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.