Provider Demographics
NPI:1437397775
Name:GARCIA, KERRI (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 LIBERTY ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2310
Mailing Address - Country:US
Mailing Address - Phone:914-930-7020
Mailing Address - Fax:
Practice Address - Street 1:920 LIBERTY ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2310
Practice Address - Country:US
Practice Address - Phone:914-930-7020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-24
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY282701164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse