Provider Demographics
NPI:1407232135
Name:PRO MED STAFFING
Entity Type:Organization
Organization Name:PRO MED STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-730-4331
Mailing Address - Street 1:8784 257TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1416
Mailing Address - Country:US
Mailing Address - Phone:718-730-4331
Mailing Address - Fax:
Practice Address - Street 1:8784 257TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1416
Practice Address - Country:US
Practice Address - Phone:718-730-4331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY585844-1251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)