Individual
AUDREY CINEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 OPAL ST, ELMONT, NY 11003-4306
(631) 515-1707
Mailing address
11 OPAL ST, ELMONT, NY 11003-4306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
643475
NY
163WH0200X
Home Health Registered Nurse
643475
NY
163WM0705X
Medical-Surgical Registered Nurse
643475
NY
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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