Provider Demographics
NPI:1558018291
Name:CONCIERGE RN SERVICES, PLLC
Entity Type:Organization
Organization Name:CONCIERGE RN SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCROSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-902-0213
Mailing Address - Street 1:411 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1350
Mailing Address - Country:US
Mailing Address - Phone:516-902-0213
Mailing Address - Fax:
Practice Address - Street 1:411 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1350
Practice Address - Country:US
Practice Address - Phone:516-545-0811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty