Provider Demographics
NPI:1700236981
Name:ARMSTRONG, DELRINE
Entity Type:Individual
Prefix:
First Name:DELRINE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 EDGECOMBE AVE
Mailing Address - Street 2:APT 8F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-8020
Mailing Address - Country:US
Mailing Address - Phone:917-855-0421
Mailing Address - Fax:
Practice Address - Street 1:409 EDGECOMBE AVE
Practice Address - Street 2:APT 8F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-8020
Practice Address - Country:US
Practice Address - Phone:917-855-0421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302735-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse