Provider Demographics
NPI:1003188012
Name:DELLABADIA, ELAINE MARY (RN)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:MARY
Last Name:DELLABADIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 SPRING RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1630
Mailing Address - Country:US
Mailing Address - Phone:914-376-8580
Mailing Address - Fax:914-376-8583
Practice Address - Street 1:18 ROSEDALE RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-3015
Practice Address - Country:US
Practice Address - Phone:914-376-8580
Practice Address - Fax:914-376-8583
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY368866-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse