Provider Demographics
NPI:1154502797
Name:SCHIANO, JUDITH HELEN (LPN)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:HELEN
Last Name:SCHIANO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 SHETLAND DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-4742
Mailing Address - Country:US
Mailing Address - Phone:845-634-7956
Mailing Address - Fax:
Practice Address - Street 1:7 CAPT SHANKEY DR
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-1326
Practice Address - Country:US
Practice Address - Phone:845-429-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145484-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01034757Medicaid