Provider Demographics
NPI:1184900730
Name:ARMSTRONG, PATRICE FESTA (RN)
Entity type:Individual
Prefix:
First Name:PATRICE
Middle Name:FESTA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3012
Mailing Address - Country:US
Mailing Address - Phone:516-678-4655
Mailing Address - Fax:
Practice Address - Street 1:2116 MERRICK AVE
Practice Address - Street 2:SUITE 2002
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3445
Practice Address - Country:US
Practice Address - Phone:516-867-7042
Practice Address - Fax:516-379-0612
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339066-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health