Provider Demographics
NPI:1013159953
Name:MCFRALANE, AUBREY DECORDAVA (RN)
Entity Type:Individual
Prefix:MR
First Name:AUBREY
Middle Name:DECORDAVA
Last Name:MCFRALANE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3653 LACONIA AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1438
Mailing Address - Country:US
Mailing Address - Phone:718-654-6949
Mailing Address - Fax:718-654-6949
Practice Address - Street 1:3653 LACONIA AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1438
Practice Address - Country:US
Practice Address - Phone:718-654-6949
Practice Address - Fax:718-654-6949
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY560634163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health