Provider Demographics
NPI:1396081279
Name:RANESES, ALDREY A (RN)
Entity type:Individual
Prefix:
First Name:ALDREY
Middle Name:A
Last Name:RANESES
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 1:21 SCHUBERT ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2989
Mailing Address - Country:US
Mailing Address - Phone:917-688-9957
Mailing Address - Fax:
Practice Address - Street 1:21 SCHUBERT ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-2989
Practice Address - Country:US
Practice Address - Phone:917-688-9957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-20
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY643481163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse