Provider Demographics
NPI:1134458672
Name:SCHULTZ-CHAND, MARIANNE (LPN)
Entity type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:SCHULTZ-CHAND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:MARIANNE
Other - Middle Name:
Other - Last Name:CHAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:218 N. MAIN ST.
Mailing Address - Street 2:NY HEALTH CARE, INC.
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977
Mailing Address - Country:US
Mailing Address - Phone:845-573-5485
Mailing Address - Fax:845-627-0675
Practice Address - Street 1:218 N. MAIN ST.
Practice Address - Street 2:NY HEALTH CARE, INC.
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977
Practice Address - Country:US
Practice Address - Phone:845-573-5485
Practice Address - Fax:845-627-0675
Is Sole Proprietor?:No
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217064-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse