Provider Demographics
NPI:1811123235
Name:GADSDEN, VELMA N
Entity type:Individual
Prefix:
First Name:VELMA
Middle Name:N
Last Name:GADSDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136-16 222ND STREET
Mailing Address - Street 2:APT 4B
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-0000
Mailing Address - Country:US
Mailing Address - Phone:718-341-0197
Mailing Address - Fax:
Practice Address - Street 1:13616 22ND STREET
Practice Address - Street 2:APT 4B
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-0000
Practice Address - Country:US
Practice Address - Phone:718-341-0197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270777-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse