Provider Demographics
NPI:1508018383
Name:EAST END RN CARE P.C.
Entity Type:Organization
Organization Name:EAST END RN CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:631-566-8875
Mailing Address - Street 1:490 MANOR HILL LN
Mailing Address - Street 2:
Mailing Address - City:MATTITUCK
Mailing Address - State:NY
Mailing Address - Zip Code:11952-2468
Mailing Address - Country:US
Mailing Address - Phone:631-566-8875
Mailing Address - Fax:631-298-9150
Practice Address - Street 1:490 MANOR HILL LN
Practice Address - Street 2:
Practice Address - City:MATTITUCK
Practice Address - State:NY
Practice Address - Zip Code:11952-2468
Practice Address - Country:US
Practice Address - Phone:631-566-8875
Practice Address - Fax:631-298-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-12
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service