Provider Demographics
NPI:1639617293
Name:ORLANDO, ANN DAMIANI
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:DAMIANI
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ANN
Other - Middle Name:ORLANDO
Other - Last Name:FASOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE, REGISTURED PR
Mailing Address - Street 1:32 TWIN ELMS LANE
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32 TWIN ELMS LANE
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956
Practice Address - Country:US
Practice Address - Phone:845-825-0168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328188-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse