Provider Demographics
NPI:1083014096
Name:CELINY, RAYNOLD (RN)
Entity Type:Individual
Prefix:MR
First Name:RAYNOLD
Middle Name:
Last Name:CELINY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 SAINT JOHNS PL
Mailing Address - Street 2:APT. A7
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-2550
Mailing Address - Country:US
Mailing Address - Phone:917-733-4249
Mailing Address - Fax:
Practice Address - Street 1:1045 SAINT JOHNS PL
Practice Address - Street 2:APT. A7
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-2550
Practice Address - Country:US
Practice Address - Phone:917-733-4249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY688899-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse