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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