MEDICARE: EMRILL C FINDLAY 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	163W00000X	Registered Nurse	639622	NY

General Provider Information

NPI Number	:	1861778722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMRILL C FINDLAY RN

Provider Business Mailing Address
First Line	:	771 FOUNTAIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-5403
Country	:	US
Telephone Number	:	718-724-9457
Fax Number	:

Provider Business Practice Location Address
First Line	:	771 FOUNTAIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-5403
Country	:	US
Telephone Number	:	718-724-9457
Fax Number	:

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

Provider Enumeration Date	:	10/24/2011
Last Update Date	:	10/24/2011

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