Provider Demographics
NPI:1689235350
Name:DOWNER-BANDOO, PATRICIA ROSEMARY (RN)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ROSEMARY
Last Name:DOWNER-BANDOO
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 1:250 W 2ND ST PH
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2829
Mailing Address - Country:US
Mailing Address - Phone:347-691-4983
Mailing Address - Fax:
Practice Address - Street 1:250 W 2ND ST PH
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2829
Practice Address - Country:US
Practice Address - Phone:347-691-4983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY646740-1163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY741210683OtherSTEVENSON FAMILY CENTER