Organization
NATACHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATACHA DEFALCO LPN (LPN)
(516) 280-0557
Entity
Organization
Contact information
Practice address
2864 EASTERN BLVD, BALDWIN, NY 11510-4232
(516) 280-0557
Mailing address
2864 EASTERN BLVD, BALDWIN, NY 11510-4232
(516) 280-0557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299269
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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