Individual
DEBORAH NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 DUMONT AVENUE, STATEN ISLAND, NY 10305
(845) 741-9731
Mailing address
PO BOX 4099, MIDDLETOWN, NY 10941-8099
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
607401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000
—
NY
Enumeration date
04/06/2015
Last updated
09/21/2015
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