Provider Demographics
NPI:1669971792
Name:ALBANO, LINDA (RN)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:ALBANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:VIGNOGNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:601 ROUTE 52
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-6067
Mailing Address - Country:US
Mailing Address - Phone:914-815-3647
Mailing Address - Fax:
Practice Address - Street 1:601 ROUTE 52
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-6067
Practice Address - Country:US
Practice Address - Phone:914-815-3647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY474424163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse