Provider Demographics
NPI:1821366162
Name:CARDEC, EVA (LPN)
Entity Type:Individual
Prefix:MS
First Name:EVA
Middle Name:
Last Name:CARDEC
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 YONKERS TER
Mailing Address - Street 2:8G
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3345
Mailing Address - Country:US
Mailing Address - Phone:914-237-7515
Mailing Address - Fax:
Practice Address - Street 1:1 LARKIN CTR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7044
Practice Address - Country:US
Practice Address - Phone:914-376-8226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116825164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse