Provider Demographics
NPI:1376069773
Name:ORCUILO, MENAY (RN)
Entity Type:Individual
Prefix:
First Name:MENAY
Middle Name:
Last Name:ORCUILO
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 1:195 MORRISON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-2834
Mailing Address - Country:US
Mailing Address - Phone:347-404-2300
Mailing Address - Fax:
Practice Address - Street 1:55 BATTERY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280-1503
Practice Address - Country:US
Practice Address - Phone:212-266-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY464978-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY464978-1OtherNURSING LICENSE