Organization
WHITE GLOVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA GUEVARA (LPN)
(347) 365-7705
Entity
Organization
Contact information
Practice address
428 SHEFFIELD AVE APT 4F, BROOKLYN, NY 11207-4728
(347) 365-7705
Mailing address
428 SHEFFIELD AVE APT 4F, BROOKLYN, NY 11207-4728
(347) 365-7705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
319913-1
NY
3140N1450X
Pediatric Skilled Nursing Facility
319913-1
NY
363L00000X
Nurse Practitioner
319913-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SG21383G
—
NY
Enumeration date
01/30/2015
Last updated
01/30/2015
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