Provider Demographics
NPI:1003189424
Name:LINDSEY, ILONA SUE (RN)
Entity Type:Individual
Prefix:MS
First Name:ILONA
Middle Name:SUE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ILONA
Other - Middle Name:SUE
Other - Last Name:FELDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:151 ANAWANA LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-3207
Mailing Address - Country:US
Mailing Address - Phone:845-794-3990
Mailing Address - Fax:845-794-3990
Practice Address - Street 1:151 ANAWANA LAKE RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-3207
Practice Address - Country:US
Practice Address - Phone:845-794-3990
Practice Address - Fax:845-794-3990
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274997-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse