Provider Demographics
NPI:1750524070
Name:CRITICAL HEALTH CARE REGISTERED NURSING SERVICES, PC
Entity type:Organization
Organization Name:CRITICAL HEALTH CARE REGISTERED NURSING SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRONIAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:631-473-4036
Mailing Address - Street 1:17 N COUNTRY RD STE B
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2271
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 N COUNTRY RD STE B
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2271
Practice Address - Country:US
Practice Address - Phone:631-473-4036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1259L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYL1259L001OtherNEW YORK STATE DEPARTMENT OF HEALTH