Provider Demographics
NPI:1437400090
Name:MARIE HELENETORCHON
Entity Type:Organization
Organization Name:MARIE HELENETORCHON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:HELENE
Authorized Official - Last Name:TORCHON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:845-323-4853
Mailing Address - Street 1:160 N MAIN ST APT 28A
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3812
Mailing Address - Country:US
Mailing Address - Phone:845-323-4853
Mailing Address - Fax:845-323-4545
Practice Address - Street 1:160 N MAIN ST APT 28A
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3812
Practice Address - Country:US
Practice Address - Phone:845-323-4853
Practice Address - Fax:845-323-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309690311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home