Provider Demographics
NPI:1770398778
Name:CIRILO UMAYAN RNFA FNP LTD
Entity type:Organization
Organization Name:CIRILO UMAYAN RNFA FNP LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CIRILO
Authorized Official - Middle Name:AGUSTIN
Authorized Official - Last Name:UMAYAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:FNP
Authorized Official - Phone:646-220-1638
Mailing Address - Street 1:2325 WESTLAKE CT
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1415
Mailing Address - Country:US
Mailing Address - Phone:646-220-1638
Mailing Address - Fax:
Practice Address - Street 1:2325 WESTLAKE CT
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1415
Practice Address - Country:US
Practice Address - Phone:646-220-1638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty