Provider Demographics
NPI:1437783867
Name:ERASO, CHASITY CHRISTINE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CHASITY
Middle Name:CHRISTINE
Last Name:ERASO
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 1:18 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-5733
Mailing Address - Country:US
Mailing Address - Phone:845-527-3130
Mailing Address - Fax:
Practice Address - Street 1:1 EVERGREEN LN
Practice Address - Street 2:
Practice Address - City:WALDEN
Practice Address - State:NY
Practice Address - Zip Code:12586-1661
Practice Address - Country:US
Practice Address - Phone:917-697-8842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337835164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse