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Organization
MICAH EASTMAN LPN, MICHAEL EASTMAN RN, OSHEA EASTMAN RN, PLLC
Active
Organization
MICAH EASTMAN LPN, MICHAEL EASTMAN RN, OSHEA EASTMAN RN, PLLC
Active
Other names
MMO NURSING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH J EASTMAN LPN (PRESIDENT/ADMINISTRATOR/NURSE)
(718) 913-0944
Entity
Organization
Contact information
Practice address
555 MADISON AVE STE 545, NEW YORK, NY 10022-3301
(718) 913-0944
(718) 228-8596
Mailing address
555 MADISON AVE STE 545, NEW YORK, NY 10022-3301
(718) 913-0944
(718) 228-8596
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02264120
—
NY
Enumeration date
05/11/2020
Last updated
05/11/2020
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