Provider Demographics
NPI:1295500668
Name:DOUBLE R CONSULTING
Entity type:Organization
Organization Name:DOUBLE R CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSHIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:646-262-8105
Mailing Address - Street 1:283 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4347
Mailing Address - Country:US
Mailing Address - Phone:646-262-8105
Mailing Address - Fax:718-698-6101
Practice Address - Street 1:283 MARTIN AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-4347
Practice Address - Country:US
Practice Address - Phone:646-262-8105
Practice Address - Fax:718-698-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty