Provider Demographics
NPI:1407540685
Name:FOLGER, MELBA ELENA
Entity Type:Individual
Prefix:
First Name:MELBA
Middle Name:ELENA
Last Name:FOLGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 KENNETH PL
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3010
Mailing Address - Country:US
Mailing Address - Phone:516-840-2234
Mailing Address - Fax:
Practice Address - Street 1:28 KENNETH PL
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3010
Practice Address - Country:US
Practice Address - Phone:516-840-2234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275298164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse