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NPI Code Detail

MEDICARE: MRS. BRENDA ANN FLORIO RN

MEDICARE: MRS. BRENDA ANN FLORIO 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
1163W00000XRegistered Nurse7011169NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17011169OTHERNYNEW YORK STATE LICENSE

General Provider Information

NPI Number : 1831404706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA ANN FLORIO RN
Provider Business Mailing Address
First Line : 5047 TUSCARORA RD
Second Line :
City : NIAGARA FALLS
State : NY
Zip : 14304-1169
Country : US
Telephone Number : 716-297-0798
Fax Number : 716-297-0998
Provider Business Practice Location Address
First Line : 5047 TUSCARORA RD
Second Line :
City : NIAGARA FALLS
State : NY
Zip : 14304-1169
Country : US
Telephone Number : 716-297-0798
Fax Number : 716-297-0998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2010
Last Update Date : 08/16/2010

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