Provider Demographics
NPI:1972888618
Name:CELESTIN, BETTY PL
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:PL
Last Name:CELESTIN
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 1:3310 NOSTRAND AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:347-715-0830
Mailing Address - Fax:347-587-7810
Practice Address - Street 1:15 METROTECH CENTER 11TH FLOOR
Practice Address - Street 2:EMPIRE STATE HOME CARE SERVICES INC C/O BRIDGET O'CONNE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:212-263-5824
Practice Address - Fax:718-923-5363
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380943-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics