Provider Demographics
NPI:1659506210
Name:COBY, DARLENE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:
Last Name:COBY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SERGIO COURT
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6401
Mailing Address - Country:US
Mailing Address - Phone:845-300-1761
Mailing Address - Fax:
Practice Address - Street 1:12 SERGIO COURT
Practice Address - Street 2:
Practice Address - City:CEST RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977
Practice Address - Country:US
Practice Address - Phone:845-300-1761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY505530163W00000X
NJ26NR09788100163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse