Provider Demographics
NPI:1497982557
Name:HORAN, BERNARD FRANCIS (RN)
Entity Type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:FRANCIS
Last Name:HORAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:BERNARD
Other - Middle Name:F
Other - Last Name:HORAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:17 STANLEY RD
Mailing Address - Street 2:
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-1504
Mailing Address - Country:US
Mailing Address - Phone:845-786-1986
Mailing Address - Fax:845-786-1986
Practice Address - Street 1:17 STANLEY RD
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-1504
Practice Address - Country:US
Practice Address - Phone:845-786-1986
Practice Address - Fax:845-786-1986
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4743571163W00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management