Individual
BERNADETTE FAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 BEACH 114STREET, PROMENADEN URSING HOME, ROCKAWAY PARK,, NY 11694
(646) 353-3209
Mailing address
140 BEACH 114 STREET, PROMENADE NURSING HOME, ROCKAWAY PARK,NY, NY 11694
(718) 945-4600
(718) 634-8327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324400
NY
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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