Provider Demographics
NPI:1407170707
Name:GOLDING, NORMA ELAINE (LPN)
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:ELAINE
Last Name:GOLDING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:NORMA
Other - Middle Name:ELAINE
Other - Last Name:GOLDING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:619 MATTELINE ST
Mailing Address - Street 2:619 MATTELINE STREET
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2618
Mailing Address - Country:US
Mailing Address - Phone:516-483-1058
Mailing Address - Fax:
Practice Address - Street 1:619 MATTELINE ST
Practice Address - Street 2:619 MATTELINE STREET
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2618
Practice Address - Country:US
Practice Address - Phone:516-483-1058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261874-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse