Provider Demographics
NPI:1639344617
Name:SCHIAVONE, MARIA SANTA (RN)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:SANTA
Last Name:SCHIAVONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HEWITT ST
Mailing Address - Street 2:
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-1410
Mailing Address - Country:US
Mailing Address - Phone:845-642-1334
Mailing Address - Fax:845-786-4953
Practice Address - Street 1:16 HEWITT ST
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-1410
Practice Address - Country:US
Practice Address - Phone:845-642-1334
Practice Address - Fax:845-786-4953
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY413365163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse