Provider Demographics
NPI:1346620671
Name:CARE ONE HOUSE CALLS NP IN FAMILY HEALTH PLLC
Entity Type:Organization
Organization Name:CARE ONE HOUSE CALLS NP IN FAMILY HEALTH PLLC
Other - Org Name:CARE ONE HOUSE CALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:845-590-4624
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-0045
Mailing Address - Country:US
Mailing Address - Phone:845-590-4624
Mailing Address - Fax:845-849-3059
Practice Address - Street 1:79 VELIE RD
Practice Address - Street 2:
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-5512
Practice Address - Country:US
Practice Address - Phone:845-590-4624
Practice Address - Fax:845-849-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339085363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1730588369OtherINDIVIDUAL NPI