Provider Demographics
NPI:1609285972
Name:ANNMARIE KREISCHER
Entity Type:Organization
Organization Name:ANNMARIE KREISCHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:516-639-2844
Mailing Address - Street 1:121 RUMFORD RD
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-3905
Mailing Address - Country:US
Mailing Address - Phone:631-656-5368
Mailing Address - Fax:
Practice Address - Street 1:121 RUMFORD RD
Practice Address - Street 2:
Practice Address - City:KINGS PARK
Practice Address - State:NY
Practice Address - Zip Code:11754-3905
Practice Address - Country:US
Practice Address - Phone:516-639-2844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277284251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care