Provider Demographics
NPI:1568226322
Name:BINNS, REMY SHATIMA
Entity Type:Individual
Prefix:
First Name:REMY
Middle Name:SHATIMA
Last Name:BINNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 TARGEE ST APT 2G
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-4465
Mailing Address - Country:US
Mailing Address - Phone:929-478-1587
Mailing Address - Fax:
Practice Address - Street 1:1000 TARGEE ST APT 2G
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-4465
Practice Address - Country:US
Practice Address - Phone:929-478-1587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335744164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse