Provider Demographics
NPI:1518232933
Name:DEAN, MONICA VICTORIA (RN)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:VICTORIA
Last Name:DEAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3202 JUNCTION BLVD
Mailing Address - Street 2:E ELMHURST
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-2454
Mailing Address - Country:US
Mailing Address - Phone:718-335-7500
Mailing Address - Fax:718-779-3633
Practice Address - Street 1:3202 JUNCTION BLVD
Practice Address - Street 2:E ELMHURST
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-2454
Practice Address - Country:US
Practice Address - Phone:718-335-7500
Practice Address - Fax:718-779-3633
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3466831163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse