Provider Demographics
NPI:1083322515
Name:CONSTANT, IRLANDE (RN)
Entity Type:Individual
Prefix:MRS
First Name:IRLANDE
Middle Name:
Last Name:CONSTANT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3407
Mailing Address - Country:US
Mailing Address - Phone:516-728-7258
Mailing Address - Fax:
Practice Address - Street 1:130 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3407
Practice Address - Country:US
Practice Address - Phone:516-728-7258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY857257163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse