Provider Demographics
NPI:1093040982
Name:NORTHEAST DOULAS, LLC
Entity Type:Organization
Organization Name:NORTHEAST DOULAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGLIETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-736-7700
Mailing Address - Street 1:2241 CROMPOND RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-5216
Mailing Address - Country:US
Mailing Address - Phone:914-736-7700
Mailing Address - Fax:
Practice Address - Street 1:2241 CROMPOND RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-5216
Practice Address - Country:US
Practice Address - Phone:914-736-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty