Organization
EXTRA CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN JEAN MCKENNA RRT (REGISTERED RESPIRATORY THERAPIST)
(516) 444-2742
Entity
Organization
Contact information
Practice address
29 SINCLAIR DR, GREENLAWN, NY 11740-2620
(516) 444-2742
Mailing address
29 SINCLAIR DR, GREENLAWN, NY 11740-2620
(516) 444-2742
Taxonomy
Speciality
Code
Description
License number
State
2278P3800X
Palliative/Hospice Certified Respiratory Therapist
007106
NY
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
007106
NY
2278P4000X
Patient Transport Certified Respiratory Therapist
007106
NY
227900000X
Registered Respiratory Therapist
Primary
007106
NY
2279C0205X
Critical Care Registered Respiratory Therapist
007106
NY
2279E0002X
Emergency Care Registered Respiratory Therapist
007106
NY
2279E1000X
Educational Registered Respiratory Therapist
007106
NY
2279G0305X
Geriatric Care Registered Respiratory Therapist
007106
NY
2279H0200X
Home Health Registered Respiratory Therapist
007106
NY
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
007106
NY
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
007106
NY
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
007106
NY
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
007106
NY
Other
Enumeration date
01/16/2013
Last updated
06/25/2014
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