Provider Demographics
NPI:1821366709
Name:JEAN-FRANCOIS, IRLANDE
Entity Type:Individual
Prefix:
First Name:IRLANDE
Middle Name:
Last Name:JEAN-FRANCOIS
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 1:134 VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4236
Mailing Address - Country:US
Mailing Address - Phone:516-502-6731
Mailing Address - Fax:
Practice Address - Street 1:134 VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4236
Practice Address - Country:US
Practice Address - Phone:516-502-6731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302909164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse