Provider Demographics
NPI:1437466273
Name:OGANDO, EILEEN
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:OGANDO
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 1:226 NAPLES TER
Mailing Address - Street 2:3 A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5419
Mailing Address - Country:US
Mailing Address - Phone:718-548-8909
Mailing Address - Fax:
Practice Address - Street 1:226 NAPLES TER
Practice Address - Street 2:3 A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5419
Practice Address - Country:US
Practice Address - Phone:718-548-8909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199303164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse