Provider Demographics
NPI:1437722139
Name:NUGENT, ORLANDO DWIGHT (DIALYSIS TECHNICIAN)
Entity Type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:DWIGHT
Last Name:NUGENT
Suffix:
Gender:M
Credentials:DIALYSIS TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 DIELLEN LN
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4517
Mailing Address - Country:US
Mailing Address - Phone:561-752-6263
Mailing Address - Fax:
Practice Address - Street 1:1996 MARION DR
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1128
Practice Address - Country:US
Practice Address - Phone:561-752-6263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other