Provider Demographics
NPI:1235449331
Name:ORGAN, RONNIE (RN)
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:
Last Name:ORGAN
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 1:625 PLEASANTVALE RD
Mailing Address - Street 2:
Mailing Address - City:TIVOLI
Mailing Address - State:NY
Mailing Address - Zip Code:12583-5216
Mailing Address - Country:US
Mailing Address - Phone:845-790-3356
Mailing Address - Fax:
Practice Address - Street 1:625 PLEASANTVALE RD
Practice Address - Street 2:
Practice Address - City:TIVOLI
Practice Address - State:NY
Practice Address - Zip Code:12583-5216
Practice Address - Country:US
Practice Address - Phone:845-790-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22602304163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health