Individual
MEDARDO OCASIONES EBOL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
KIRBY FORENSIC PSYCHIATRIC CENTER, WARDS ISLAND COMPLEX, MANHATTAN, NY 10035-6095
(914) 646-6800
(914) 646-6892
Mailing address
410 WESTCHESTER AVE UNIT 110, PORT CHESTER, NY 10573-3619
(914) 473-1039
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
637484
NY
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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