Provider Demographics
NPI:1194835785
Name:VISITING NURSE SERVICE OF NEW YORK HOME CARE- EARLY INTERVENTION
Entity Type:Organization
Organization Name:VISITING NURSE SERVICE OF NEW YORK HOME CARE- EARLY INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-609-1521
Mailing Address - Street 1:7520 ASTORIA BLVD.
Mailing Address - Street 2:STE 220
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7520 ASTORIA BLVD.
Practice Address - Street 2:STE 220
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370
Practice Address - Country:US
Practice Address - Phone:212-609-6283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY29100OtherPROPRIETARY