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Organization
PRN PROFESSIONAL REGISTERED NURSING P.C.
Active
Organization
PRN PROFESSIONAL REGISTERED NURSING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIAM MANLEY R.N. (PRESIDENT)
(914) 329-5742
Entity
Organization
Contact information
Practice address
2451 WHITE PLAINS RD, BRONX, NY 10467-8108
(914) 329-5742
(888) 411-6002
Mailing address
2451 WHITE PLAINS RD, BRONX, NY 10467-8108
(914) 329-5742
(888) 411-6002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8070L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8070L001
NEW YORK STATE DEPARTMENT OF HEALTH
NY
Enumeration date
01/24/2012
Last updated
01/24/2012
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