Provider Demographics
NPI:1255897427
Name:CLINICAL STAFFING RESOURCES CORP.
Entity type:Organization
Organization Name:CLINICAL STAFFING RESOURCES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:
Authorized Official - Last Name:DERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-669-7373
Mailing Address - Street 1:420 BROADWAY STE 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-7489
Mailing Address - Country:US
Mailing Address - Phone:718-669-7373
Mailing Address - Fax:
Practice Address - Street 1:420 BROADWAY STE 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-7489
Practice Address - Country:US
Practice Address - Phone:718-669-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care